Organization
MENTAL WELLNESS CENTER LLC
Active
Other names
Mental Wellness Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MALDONADO PH.D. (PRESIDENT)
(201) 364-8474
Entity
Organization
Contact information
Practice address
555 NORTH AVE, FORT LEE, NJ 07024-2404
(201) 410-7376
Mailing address
555 NORTH AVE, FORT LEE, NJ 07024-2404
(201) 410-7376
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NJ
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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