Organization
MENDING WINGS TO SOAR
Active
Other names
Mending Wings To Soar
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOYA MATHISON LPC (OWNER/THERAPIST)
(973) 937-8632
Entity
Organization
Contact information
Practice address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(973) 937-8632
Mailing address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(973) 937-8632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37PC00559100
NJ
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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