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Anti-Violence Coalition Of Hudson County

Clinic/Center, Mental Health (Including Community Mental Health Center) in Jersey City, NJ. Organization (NPI-2).

NPI number1942083464
StatusActive
Last updated in NPPESAug 17, 2023

Details

NPI
1942083464
Entity type
Organization (NPI-2)
Legal business name
Anti-Violence Coalition Of Hudson County
Organization subpart
No
Enumeration date
Aug 17, 2023
Certification date
Aug 17, 2023
Last updated
Aug 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
174200000X Meals––
251B00000X Case Management––
251S00000X Community/Behavioral Health––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

221 Monticello Ave
Jersey City, NJ 07304-2608

Phone 201-589-8322

Mailing address

221 Monticello Ave
Jersey City, NJ 07304-2608

Phone 201-589-8322

Authorized official

Pamela Johnson
Executive Director
2015898322

Is something wrong?

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