NPI 1154747582

John T. Miele, PH.D.

Organisation Community/Behavioral Health Agency Fort Lee, NJ

Practice location

Address: 1605 John St 314, Fort Lee, NJ 07024-2575
Phone: (973) 464-9639
Mailing address: 112 Dulles Dr, Dumont, NJ 07628-3620

Authorised official

Name: John Miele
Title: Owner
Phone: (973) 464-9639

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 35S100441900 (NJ)

Other Community/Behavioral Health providers in New Jersey →

Registry record

NPI: 1154747582
Entity type: Organization
NPI issued: 10 Mar 2014
Record last updated: 10 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.