| NPI | 1659898120 |
|---|---|
| Doing Business As | AMECCO-USA |
| Entity Type | Organization |
| Authorized Contact | CANDRICK C. DARKASHADE Chief Administrator 848-467-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 173-040) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 173-040) |
| 252Y00000X Early Intervention Provider Agency (Licence: NJ 173-040) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NJ 173-040) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 173-040) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 173-404) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 173-040) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |