Organization
MENTAL HEALTH AND ADDICTION CENTER,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS SILAO CRNA, MA, APN (CO-DIRECTOR)
(917) 597-0082
Entity
Organization
Contact information
Practice address
751 BERGEN AVE, JERSEY CITY, NJ 07306-4705
(201) 687-7167
(201) 653-0917
Mailing address
751 BERGEN AVE, JERSEY CITY, NJ 07306-4705
(201) 687-7167
(201) 653-0917
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
01/24/2025
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