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Prime Healthcare Services - St. Mary's Passaic, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Passaic, New Jersey
NPI 1821417346

Prime Healthcare Services - St. Mary's Passaic, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Ontario, NJ. Prime Healthcare Services - St. Mary's Passaic, Llc practices in Passaic, NJ. The NPI Number for Prime Healthcare Services - St. Mary's Passaic, Llc is 1821417346 and holds a License No. (New Jersey).

The current practice location address for Prime Healthcare Services - St. Mary's Passaic, Llc is 33 Mineral Spring Ave, Passaic, NJ and can be reached out via phone at 973-773-3005.

Location: 33 Mineral Spring Ave, Passaic, NJ, 91761-8655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821417346
Provider Name
Prime Healthcare Services - St. Mary's Passaic, Llc
Credential
Provider Entity Type
Organization
Address
33 Mineral Spring Ave, Passaic, NJ, 91761-8655
Phone Number
973-773-3005
Fax Number
Provider Enumeration Date
04/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33 Mineral Spring Ave
City
Passaic
State
New Jersey
Zip
07055-2512
Phone Number
973-773-3005
Fax Number
person
Provider Business Mailing Address Details
Address
33 Mineral Spring Ave
City
Passaic
State
New Jersey
Zip
07055-2512
Phone Number
973-773-3005
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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