Organization Name: | OASIS GROUP, LLC |
NPI Number: | 1710298450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA T MACK (DIRECTOR) |
Mailing Address: | 3640 Valley Rd Liberty Corner |
State: | NJ US |
Postal Code: | 07938 |
Phone Number: | 9084847354 |
Fax Number: | 9739129050 |
NPI Enumeration Date: | 06/28/2010 |
NPI Last Update Date: | 06/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35SI00308900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |