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Mr. Mukhtar Fofana
Mental Illness Community Based Residential Treatment Facility in Somerset, New Jersey
NPI 1619462124

Mukhtar Fofana is a Mental Illness Community Based Residential Treatment Facility based in Somerset, NJ. Mukhtar Fofana practices in Somerset, NJ. The NPI Number for Mukhtar Fofana is 1619462124 and holds a License No. (New Jersey).

The current practice location address for Mukhtar Fofana is 156 Hempstead Dr, Somerset, NJ and can be reached out via phone at 732-485-3959. You can also correspond with Mukhtar Fofana through the mailing address at 156 HEMPSTEAD DR, SOMERSET, NJ - 08873-3948 (mailing address contact number: 732-485-3959).

Location: 156 Hempstead Dr, Somerset, NJ, 08873-3948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619462124
Provider Name
Mukhtar Fofana
Credential
Provider Entity Type
Individual
Gender
Male
Address
156 Hempstead Dr, Somerset, NJ, 08873-3948
Phone Number
732-485-3959
Fax Number
Provider Enumeration Date
06/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
156 Hempstead Dr
City
Somerset
State
New Jersey
Zip
08873-3948
Phone Number
732-485-3959
Fax Number
person
Provider Business Mailing Address Details
Address
156 Hempstead Dr
City
Somerset
State
New Jersey
Zip
08873-3948
Phone Number
732-485-3959
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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