Organization · Type 2 NPI

Prime Healthcare Services - St. Mary's Passaic, LLC

Mental Illness Community Based Residential Treatment Facility · Passaic, NJ

NPI number 1689093841 Active

Practice location

530 Main Ave
Passaic, NJ 07055-5700

Call (973) 470-3168 Map

Mailing address

3300 E Guasti Rd, Third Floor
Ontario, CA 91761-8655

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.

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About NPI 1689093841

Prime Healthcare Services - St. Mary's Passaic, LLC's National Provider Identifier is 1689093841, issued on Apr 15, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Passaic, NJ. The record was last updated on Apr 15, 2014.