Organization · Type 2 NPI

Dr. Naomi Ambalu, LLC

Adolescent and Children Mental Health Clinic/Center · Mahwah, NJ

NPI number 1780192401 Active

Practice location

115 Franklin Tpke Ste 139
Mahwah, NJ 07430-1325

Fax (705) 995-2043

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone 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.

About NPI 1780192401

Dr. Naomi Ambalu, LLC's National Provider Identifier is 1780192401, issued on Jan 16, 2018. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Mahwah, NJ. The record was last updated on Sep 25, 2018.