Organization
FAMILY MENTAL HEALTH SERVICES LLC INDEPENDENT CLINIC
Active
Parent organization
FAMILY MENTAL HEALTH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY MENTAL HEALTH SERVICES LLC
Authorized official
JUDITH OKEWOLE (DIRECTOR)
(908) 588-2445
Entity
Organization
Contact information
Practice address
540 NORTH AVE STE 4, UNION, NJ 07083-7149
(908) 588-2445
(908) 558-0170
Mailing address
540 NORTH AVE STE 4, UNION, NJ 07083-7149
(908) 588-2445
(908) 558-0170
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866113
—
NJ
Enumeration date
11/23/2022
Last updated
11/23/2022
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