Organization
MINDTECH BEHAVIORAL HEALTH LLC
Active
Other names
PHREND BEHAVIORAL HEALTH OF NEW JERSEY
Organization subpart
No
Provider details
NPI number
Authorized official
ATHANASIOS G. PAPASTAMELOS MD (MEDICAL DIRECTOR)
(609) 432-1465
Entity
Organization
Contact information
Practice address
1418 NEW RD STE 1B, NORTHFIELD, NJ 08225-1179
(609) 796-7895
Mailing address
1418 NEW RD STE 1B, NORTHFIELD, NJ 08225-1179
(609) 796-7895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/16/2024
Last updated
01/27/2025
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