Whalio Doctors

NPI 1558643619

Urban Medical Behavioral Health Services LLC

Organisation Substance Abuse Rehabilitation Facility Jersey City, NJ

Practice location

Address
253 Martin Luther King Jr Dr, Jersey City, NJ 07305-3427
Phone
(201) 332-7072
Mailing address
PO Box 3144, Jersey City, NJ 07303-3144

Authorised official

Name
Gloria Walton
Title
Executive Director
Phone
(201) 332-7072

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 200515-11 (NJ)
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 200515-11 (NJ)

Registry record

NPI
1558643619
Entity type
Organization
NPI issued
14 Sep 2011
Record last updated
15 Sep 2011

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.