Organization
MENTAL HEALTH ASSN OF ESSEX AND MORRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT N DAVISON MA LPC (EXECUTIVE DIRECTOR)
(973) 509-9777
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL, EAST ORANGE, NJ 07018
(973) 676-9111
(973) 676-9008
Mailing address
33 S FULLERTON AVE, MONTCLAIR, NJ 07042-3358
(973) 509-9777
(973) 509-9218
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
302090405
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7370202
—
NJ
Enumeration date
07/08/2008
Last updated
08/06/2018
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