Organization
BLUE MOOD SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE IVANOV MSW, LCSW (OWNER)
(718) 496-1149
Entity
Organization
Contact information
Practice address
180 TICES LN, BLDG A, STE 201C, EAST BRUNSWICK, NJ 08816-1345
(718) 496-1149
Mailing address
538 1ST AVE, NORTH BRUNSWICK, NJ 08902-3306
(718) 496-1149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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