MINDSPACE CLINIC

EAST ORANGE, NJ
NPI1134857642
Entity TypeOrganization
Authorized ContactLILIAN KORDIE
Provider
201-407-0702
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2022-08-11
Last Update Date2022-08-11
Business Address
MINDSPACE CLINIC
137 EVEGREEN PLACE SUITE 1B
EAST ORANGE, NJ 07018-2005
Phone number: 201-407-0702
Mailing Address
MINDSPACE CLINIC
137 EVEGREEN PLACE
EAST ORANGE, NJ 07018-2005
Phone number: 201-407-0702
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