MEDICARE: MMM HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1265385462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MMM HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	508 HAMBURG TPKE STE 107D
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-8482
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 HAMBURG TPKE STE 107D
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-8482
Country	:	US
Telephone Number	:	201-945-2905
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SVETLANA MARYASH
Credential	:
Telephone Number	:	201-945-2905

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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