Organization Name: | METROPOLITAN MENTAL HEALTH |
NPI Number: | 1043581267 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELVIRA MALER (DIRECTOR) |
Mailing Address: | 5-11 Saddle River Rd Suite 6 Fair Lawn |
State: | NJ US |
Postal Code: | 074105635 |
Phone Number: | 2017949797 |
Fax Number: | 2012549650 |
NPI Enumeration Date: | 01/19/2012 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SL05698400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |