| Black Falls Therapy And Wellness, Llc | |
|
215 Main St., Suite 2a Westampton NJ 08060 | |
| (609) 491-2924 | |
| Not Available |
| Full Name | Black Falls Therapy And Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 215 Main St., Suite 2a, Westampton, New Jersey |
| Authorized Official Name and Position | Kristina M Odumes (CLINIC DIRECTOR) |
| Authorized Official Contact | 6094912924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Falls Therapy And Wellness, Llc 26 Fireside Ct Willingboro NJ 08046-2020 Ph: (609) 491-2924 | Black Falls Therapy And Wellness, Llc 215 Main St., Suite 2a Westampton NJ 08060 Ph: (609) 491-2924 |
| NPI Number | 1629822184 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629822184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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