Provider Demographics
NPI:1346509270
Name:MCM SERVICES LLC
Entity Type:Organization
Organization Name:MCM SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:R
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-812-2606
Mailing Address - Street 1:26 JEFF ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3029
Mailing Address - Country:US
Mailing Address - Phone:908-812-2606
Mailing Address - Fax:
Practice Address - Street 1:26 JEFF ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3029
Practice Address - Country:US
Practice Address - Phone:908-812-2606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-12
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty