Individual provider · Type 1 NPI
Mukhtar Fofana
Mental Illness Community Based Residential Treatment Facility · Somerset, NJ
NPI number
1619462124
Active
Practice location
156 Hempstead Dr
Somerset, NJ 08873-3948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1619462124
Mukhtar Fofana's National Provider Identifier is 1619462124, issued on Jun 27, 2018. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Somerset, NJ. The record was last updated on Jun 27, 2018.