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

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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.