Astral Psychiatry LLC
Social Worker, Clinical in Jersey City, NJ. Organization (NPI-2).
NPI number1710719794
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1710719794
- Entity type
- Organization (NPI-2)
- Legal business name
- Astral Psychiatry LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2024
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 103T00000X | Psychologist | – | – |
Practice location
26 High StJersey City, NJ 07306-1914
Phone 949-207-9995
Mailing address
305 N Main St Unit 180Taylor, TX 76574-3642
Authorized official
Ziheng Song
Director
9492079995
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