Organization · Type 2 NPI
On Your Mark Teen Counseling Center, LLC
Adolescent and Children Mental Health Clinic/Center · Upper Montclair, NJ
Practice location
605 Valley Rd Ste 4
Upper Montclair, NJ 07043-1455
Fax (973) 746-2502
Mailing address
PO Box 43701
Upper Montclair, NJ 07043-0701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
2 other providers at this address
About NPI 1386108488
On Your Mark Teen Counseling Center, LLC's National Provider Identifier is 1386108488, issued on Jan 23, 2019. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Upper Montclair, NJ. The record was last updated on Jan 23, 2019.