Organization
GREENHOUSE FOR MENTAL HEALTH DEVELOPMENT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYODELE GREEN MD (PRESIDENT)
(973) 722-0483
Entity
Organization
Contact information
Practice address
115 ROUTE 46 W BLDG F, MOUNTAIN LAKES, NJ 07046-1668
(973) 722-0483
Mailing address
PO BOX 282, MOUNTAIN LAKES, NJ 07046-0282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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