MARIE EDITH GANTHIER


Address: 148 W Elmwood Dr, South Plainfield, NJ 07080-4913
Phone: 9084471211

MARIE EDITH GANTHIER (NPI# 1205284304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205284304
Entity Type Organization
Organization Name MARIE EDITH GANTHIER
Practice Address 148 W Elmwood Dr
South Plainfield
NJ 07080-4913
Practice Telephone 9084471211
Mailing Telephone 9084471211
Enumeration Date 2016-05-30
Last Update Date 2016-05-30
Authorized Official Name MRS. MARIE EDITH GANTHIER (LICENSED CLINICAL SOCIAL WORKER)
Authorized Official Telephone 9084471211
Authorized Official Credential MSW LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
44SC00355600 NJ Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
44SC00355600 NJ Ambulatory Health Care Facilities

Office Location

Street Address 148 W ELMWOOD DR
City SOUTH PLAINFIELD
State NJ
Zip Code 07080-4913

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City SOUTH PLAINFIELD
Zip Code 07080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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