South Shore Behavioral Health LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Williamstown, NJ. Organization (NPI-2).
NPI number1366358467
StatusActive
Last updated in NPPESAug 20, 2026
Details
- NPI
- 1366358467
- Entity type
- Organization (NPI-2)
- Legal business name
- South Shore Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2026
- Certification date
- Aug 20, 2026
- Last updated
- Aug 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
31 Glasgow RdWilliamstown, NJ 08094-2942
Phone 856-625-3021
Mailing address
31 Glasgow RdWilliamstown, NJ 08094-2942
Phone 856-625-3021
Authorized official
Lucy Omonuwa Momodu
Sole Member / Owner
8566253021
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