Provider Demographics
NPI:1528129434
Name:MENTAL HEALTH ASSOCIATION OF MORRIS COUNTY
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF MORRIS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGGART
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:973-334-3496
Mailing Address - Street 1:100 US HIGHWAY 46
Mailing Address - Street 2:BUILDING C
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1745
Mailing Address - Country:US
Mailing Address - Phone:973-334-3496
Mailing Address - Fax:973-334-4920
Practice Address - Street 1:100 US HIGHWAY 46
Practice Address - Street 2:BUILDING C
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1745
Practice Address - Country:US
Practice Address - Phone:973-334-3496
Practice Address - Fax:973-334-4920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4547004Medicaid