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Contact Information

DOC OCTAVIUS MENTAL HEALTH SERVICES
542 S BROADWAY APT H19
PENNSVILLE TOWNSHIP, NJ08070-2675
 Phone: 914-261-6532
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for DOC OCTAVIUS MENTAL HEALTH SERVICES · (Female)

NPI # 1780238428
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2019
Last updated 07/31/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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