OrganizationActive
A Space for You Mental Health Care PC
NPI 1306513148 · Multi-Specialty Clinic/Center · Bayonne, NJ
Provider details
- NPI number
- 1306513148
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tasia Milicevic, Owner of Practice(718) 730-0787
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
654 Avenue C Ste 301
Bayonne, NJ 07002-3899
Phone: (201) 743-8889
Approximate (ZIP-level) locationGet directions
Mailing address
654 Avenue C Ste 301
Bayonne, NJ 07002-3899
Registry dates
- Enumerated
- 2021-08-29
- Last updated
- 2021-08-29
- Certified
- 2021-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.