Organization · Type 2 NPI
Modern Mind Therapeutic Services LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Clifton, NJ
NPI number
1114502929
Active
Practice location
49 Kulick St
Clifton, NJ 07011-2375
Mailing address
1114 Main Ave Unit 6035
Clifton, NJ 07015-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1114502929
Modern Mind Therapeutic Services LLC's National Provider Identifier is 1114502929, issued on Mar 12, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Clifton, NJ. The record was last updated on Mar 12, 2021.