Organization
MTI COUNSELING SERVICES OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANDREW BROGAN SR. LCADC (OWNER)
(732) 600-2639
Entity
Organization
Contact information
Practice address
509 HOOPER AVE, TOMS RIVER, NJ 08753-7712
(732) 600-2639
Mailing address
509 HOOPER AVE, TOMS RIVER, NJ 08753-7712
(732) 600-2639
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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