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St. Mary's Hospital
Emotionally Disturbed Childrens' Residential Treatment Facility in Passaic, New Jersey
NPI 1750402202

St. Mary's Hospital is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Passaic, NJ. St. Mary's Hospital practices in Passaic, NJ. The NPI Number for St. Mary's Hospital is 1750402202 and holds a License No. 30407R05Y107 (New Jersey).

The current practice location address for St. Mary's Hospital is 33 Mineral Spring Ave, Passaic, NJ and can be reached out via phone at 973-470-3181.

Location: 33 Mineral Spring Ave, Passaic, NJ, 07055-2840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750402202
Provider Name
St. Mary's Hospital
Credential
Provider Entity Type
Organization
Address
33 Mineral Spring Ave, Passaic, NJ, 07055-2840
Phone Number
973-470-3181
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8368902 05 NJ
institution
Provider Business Practice Location Address Details
Address
33 Mineral Spring Ave
City
Passaic
State
New Jersey
Zip
07055-2512
Phone Number
973-470-3181
Fax Number
person
Provider Business Mailing Address Details
Address
33 Mineral Spring Ave
City
Passaic
State
New Jersey
Zip
07055-2512
Phone Number
973-470-3181
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
30407R05Y107 (New Jersey)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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