Eucalyptus One LLC

NPI #1053018317 in Glenwood, New Jersey

Provider Information

NPI Number: 1053018317
Entity Type: Organization
Organization Name: Eucalyptus One LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 7, 2023
Last Updated: Dec 13, 2024

Practice Location

Address: 1 VERNON VIEW DR W
City: Glenwood
State: New Jersey
ZIP Code: 07418-1010
Phone: (917) 909-9449

Authorized Official

Name: MR. FERMIN CRUZ
Title: ADMINISTRATOR
Phone: (917) 224-7347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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