Absolutely Driven Mental Health Provider LLC
NPI #1548616840 in Montclair, New Jersey
Provider Information
- NPI Number
- 1548616840
- Entity Type
- Organization
- Organization Name
- Absolutely Driven Mental Health Provider LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 5, 2016
- Last Updated
- Sep 12, 2016
Practice Location
- Address
- 100 VALLEY RD
- Address 2
- SUITE1
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-2200
- Phone
- (201) 574-5640
Authorized Official
- Name
- VALENTINA SOM
- Title
- HEALTHCARE PROVIDER
- Phone
- (201) 574-5640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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