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Jose Luis Medina
Community/Behavioral Health Agency in Bayonne, New Jersey
NPI 1396022562

Jose Luis Medina is a Community/Behavioral Health Agency based in Bayonne, NJ. Jose Luis Medina practices in Bayonne, NJ. The NPI Number for Jose Luis Medina is 1396022562 and holds a License No. (New Jersey).

The current practice location address for Jose Luis Medina is 106 W 53Rd St Apt 26, Bayonne, NJ and can be reached out via phone at 718-761-9800.

Location: 106 W 53Rd St Apt 26, Bayonne, NJ, 07002-3356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396022562
Provider Name
Jose Luis Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
106 W 53Rd St Apt 26, Bayonne, NJ, 07002-3356
Phone Number
718-761-9800
Fax Number
Provider Enumeration Date
11/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
106 W 53Rd St Apt 26
City
Bayonne
State
New Jersey
Zip
07002-3356
Phone Number
718-761-9800
Fax Number
person
Provider Business Mailing Address Details
Address
106 W 53Rd St Apt 26
City
Bayonne
State
New Jersey
Zip
07002-3356
Phone Number
718-761-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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