Organization
THERAPY WITH GI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINAMARIE MIRO (OWNER)
(732) 328-8760
Entity
Organization
Contact information
Practice address
16 PEARL ST STE 108, METUCHEN, NJ 08840-1847
(732) 328-8760
Mailing address
420 DURHAM AVE, EDISON, NJ 08817-2347
(732) 328-8760
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
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
10/20/2023
Last updated
02/23/2024
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