Provider Demographics
NPI:1194026724
Name:DMH COUNSELING AND REFERRAL SERVICES, INC
Entity Type:Organization
Organization Name:DMH COUNSELING AND REFERRAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-647-2878
Mailing Address - Street 1:138 OLD STIRLING RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5830
Mailing Address - Country:US
Mailing Address - Phone:908-647-2878
Mailing Address - Fax:908-647-0291
Practice Address - Street 1:138 OLD STIRLING RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5830
Practice Address - Country:US
Practice Address - Phone:908-647-2878
Practice Address - Fax:908-647-0291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00299400251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health