Organization · Type 2 NPI
Pascack Mental Health Center
Mental Health Counselor · Park Ridge, NJ
NPI number
1154526440
Active
Practice location
114 Kinderkamack Road
Park Ridge, NJ 07656-2126
Fax (201) 391-9516
Mailing address
PO Box 126, 114 Kinderkamack Road
Park Ridge, NJ 07656-2126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Psychologist | 103T00000X | None listed |
| Specialist | 174400000X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1154526440
Pascack Mental Health Center's National Provider Identifier is 1154526440, issued on Jun 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Park Ridge, NJ. The record was last updated on Oct 16, 2007.