Organization · Type 2 NPI

Main ST Counseling Center

Community/Behavioral Health Agency · West Orange, NJ

NPI number 1720417876 Active

Practice location

8 Marcella Ave
West Orange, NJ 07052-4164

Fax (973) 669-9683

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X44SL05560300 (NJ)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1720417876

Main ST Counseling Center's National Provider Identifier is 1720417876, issued on Nov 8, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in West Orange, NJ. The record was last updated on Nov 8, 2013.