Organization
INTROSPECTION, MIND,BODY&SPIRIT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA GABLE-GASTON APN (CEO)
(973) 931-2524
Entity
Organization
Contact information
Practice address
1293 BROAD ST, SUITE 2, BLOOMFIELD, NJ 07003-3060
(973) 931-2524
(973) 338-1487
Mailing address
80 WATCHUNG AVE, MONTCLAIR, NJ 07043-1728
(973) 931-2524
(973) 338-1487
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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