Organization
ASSOCIATES IN MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K ADEDOYIN MA, CSW, CBT, CCSP (CEO)
(973) 676-8899
Entity
Organization
Contact information
Practice address
81 NORTHFIELD AVE STE 106, WEST ORANGE, NJ 07052-5343
(973) 676-8899
Mailing address
60 N WYOMING AVE, SOUTH ORANGE, NJ 07079-1526
(973) 676-8899
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09645257261532
—
NJ
Enumeration date
11/21/2018
Last updated
11/21/2018
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