Healthcare Provider Details

I. General information

NPI: 1265385462
Provider Name (Legal Business Name): MMM HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 HAMBURG TPKE STE 107D
WAYNE NJ
07470-8482
US

IV. Provider business mailing address

508 HAMBURG TPKE STE 107D
WAYNE NJ
07470-8482
US

V. Phone/Fax

Practice location:
  • Phone: 201-945-2905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SVETLANA MARYASH
Title or Position: CEO
Credential:
Phone: 201-945-2905