| NPI | 1811452642 |
|---|---|
| Doing Business As | MERCEDES & FAMILY |
| Entity Type | Organization |
| Authorized Contact | BILLY MERCEDES Provider 201-375-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-12-06 |