Organization
VIMAX LLC
Active
Other names
Ocean Insight Center
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTOR DUBINSKIY (PRESIDENT)
(732) 616-8090
Entity
Organization
Contact information
Practice address
1749 HOOPER AVE STE 202, TOMS RIVER, NJ 08753-8130
(732) 930-1020
Mailing address
108 GALLOPING HILL RD, COLTS NECK, NJ 07722-1538
(732) 616-8090
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0583090
—
NJ
Enumeration date
07/25/2017
Last updated
07/06/2020
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