Organization
A MINDFUL PAWS FOR YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN TENENBAUM LCSW (OWNER)
(732) 788-7619
Entity
Organization
Contact information
Practice address
64 ILLINOIS AVE, PORT MONMOUTH, NJ 07758-1179
(908) 433-6651
Mailing address
64 ILLINOIS AVE, PORT MONMOUTH, NJ 07758-1179
(908) 433-6651
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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