Provider Demographics
NPI:1114535770
Name:M&M RESIDENTIAL SERVICES
Entity type:Organization
Organization Name:M&M RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-868-9640
Mailing Address - Street 1:70 S ORANGE AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4916
Mailing Address - Country:US
Mailing Address - Phone:973-943-0720
Mailing Address - Fax:
Practice Address - Street 1:70 S ORANGE AVE STE 105
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4916
Practice Address - Country:US
Practice Address - Phone:973-943-0720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children