Organization

Modern Mind Therapeutic Services Llc

Mental Health Clinic/Center (Including Community Mental Health Center) in Clifton, NJ(View on Map)

Legal Business Name

Modern Mind Therapeutic Services Llc

NPI Number

1114502929

NPI Type

Organization

Enumeration Date

03/12/2021

Contact
Information

Purpose

Mailing
Location

Address

1114 MAIN AVE UNIT 6035
49 KULICK ST

City

Clifton
Clifton

State

NJ
NJ

Postal Code

07015-7200
07011-2375

Country

US
US

Telephone Number

(973) 910-0900
(973) 930-9749

Authorized Official

Name

Jessica Ayala

Title or Position

THERAPIST/ OWNER

Telephone Number

(973) 930-9749

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/12/2021

Provider Address

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