Organization · Type 2 NPI
Supportive Space Counseling Center
Mental Health Clinic/Center (Including Community Mental Health Center) · Mountainside, NJ
NPI number
1093337396
Active
Practice location
1320 Outlook Dr
Mountainside, NJ 07092-1411
Mailing address
PO Box 2244
Flemington, NJ 08822-2244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Mountainside
About NPI 1093337396
Supportive Space Counseling Center's National Provider Identifier is 1093337396, issued on May 11, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mountainside, NJ. The record was last updated on May 11, 2020.