Organization
THE MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TRAVERS LCSW, CTS (PROGRAM DIRECTOR)
(973) 509-9777
Entity
Organization
Contact information
Practice address
33 S FULLERTON AVE, MONTCLAIR, NJ 07042
(973) 509-9777
Mailing address
33 S FULLERTON AVE, MONTCLAIR, NJ 07042-3358
(973) 509-9777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05659600
NJ
Other
Enumeration date
03/30/2016
Last updated
08/06/2018
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