Mending Wings to Soar
NPI #1871001057 in Montclair, New Jersey
Provider Information
- NPI Number
- 1871001057
- Entity Type
- Organization
- Organization Name
- Mending Wings to Soar
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 22, 2018
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 460 BLOOMFIELD AVE
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3582
- Phone
- (973) 937-8632
Authorized Official
- Name
- MS. MOYA MATHISON, LPC
- Title
- OWNER/THERAPIST
- Phone
- (973) 937-8632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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