IndividualActive
Mukhtar Fofana
NPI 1619462124 · Mental Illness Community Based Residential Treatment Facility · Somerset, NJ
Provider details
- NPI number
- 1619462124
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
156 Hempstead Dr
Somerset, NJ 08873-3948
Phone: (732) 485-3959
Approximate (ZIP-level) locationGet directions
Mailing address
156 Hempstead Dr
Somerset, NJ 08873-3948
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.