OrganizationActive
Activity and Human Performance Center
NPI 1407181472 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jersey City, NJ
Provider details
- NPI number
- 1407181472
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Seglin, President(973) 632-0710
- License
- 2138 (NJ)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 2138 (NJ)
Ambulatory Health Care Facilities
Practice location
95 Martin Luther King Jr Dr
Jersey City, NJ 07305-3025
Phone: (201) 332-7077
Fax: (201) 332-7003
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 32396
Newark, NJ 07102-0796
Registry dates
- Enumerated
- 2009-10-08
- Last updated
- 2009-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.