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Organization

DOC OCTAVIUS MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OCTAVIUS LAMONT BROWN LPC, LCADC (CHIEF EXECUTIVE)
(914) 261-6532
Entity
Organization

Contact information

Practice address
542 S BROADWAY APT H19, PENNSVILLE, NJ 08070-2675
(914) 261-6532
Mailing address
542 S BROADWAY APT H19, PENNSVILLE, NJ 08070-2675
(914) 261-6532

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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