Organization
CHASE MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVAR CHASE (OWNER)
(862) 596-8209
Entity
Organization
Contact information
Practice address
1631 LAWRENCE ST, RAHWAY, NJ 07065-5144
(862) 596-8209
Mailing address
1631 LAWRENCE ST, RAHWAY, NJ 07065-5144
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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