Stanford Angels Clear Mind and Wellness LLC
NPI #1770330730 in Rahway, New Jersey
Provider Information
- NPI Number
- 1770330730
- Entity Type
- Organization
- Organization Name
- Stanford Angels Clear Mind and Wellness LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STANFORD ANGELS LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- May 6, 2024
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 1600 SAINT GEORGES AVE STE 301
- City
- Rahway
- State
- New Jersey
- ZIP Code
- 07065-2713
- Phone
- (848) 336-0965
Authorized Official
- Name
- MS. CATINA BURKETT, LCSW
- Title
- SOCIAL WORK CLINICAL SUPERVISOR
- Phone
- (201) 814-2759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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