Organization
ANTI-VIOLENCE COALITION OF HUDSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA JOHNSON (EXECUTIVE DIRECTOR)
(201) 589-8322
Entity
Organization
Contact information
Practice address
221 MONTICELLO AVE, JERSEY CITY, NJ 07304-2608
(201) 589-8322
Mailing address
221 MONTICELLO AVE, JERSEY CITY, NJ 07304-2608
(201) 589-8322
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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