Provider Demographics
NPI:1447763420
Name:TMS RECOVERY CENTER INC
Entity Type:Organization
Organization Name:TMS RECOVERY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-999-3857
Mailing Address - Street 1:235 MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7307
Mailing Address - Country:US
Mailing Address - Phone:201-880-8168
Mailing Address - Fax:201-880-8170
Practice Address - Street 1:235 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7307
Practice Address - Country:US
Practice Address - Phone:201-880-8168
Practice Address - Fax:201-880-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06639300261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center