Healthcare Provider Details

I. General information

NPI: 1902736960
Provider Name (Legal Business Name): ALLIANCE MENTAL HEALTH COMMUNITY PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BOROLINE RD
SADDLE RIVER NJ
07458-2343
US

IV. Provider business mailing address

5 BOROLINE RD
SADDLE RIVER NJ
07458-2343
US

V. Phone/Fax

Practice location:
  • Phone: 918-608-0380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CANDICE MICHELLE GREEN
Title or Position: CCO
Credential:
Phone: 918-608-0380