Provider Demographics
NPI:1447750153
Name:WECARE ALLIANCE FOR MENTAL HEALTH
Entity Type:Organization
Organization Name:WECARE ALLIANCE FOR MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:N
Authorized Official - Last Name:MOMANYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-250-0095
Mailing Address - Street 1:768 HAMILTON ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-2780
Mailing Address - Country:US
Mailing Address - Phone:917-250-0095
Mailing Address - Fax:
Practice Address - Street 1:768 HAMILTON ST APT 2B
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-2780
Practice Address - Country:US
Practice Address - Phone:917-250-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty