| Full Heart Recovery, Llc | |
|
543 Valley Rd Suite 6 Upper Montclair NJ 07043-1881 | |
| (973) 744-9130 | |
| (973) 863-2354 |
| Full Name | Full Heart Recovery, Llc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 543 Valley Rd, Upper Montclair, New Jersey |
| Authorized Official Name and Position | Henry Srednicki (MEMBER) |
| Authorized Official Contact | 9737449130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Heart Recovery, Llc 543 Valley Rd Suite 6 Upper Montclair NJ 07043-1881 Ph: (973) 744-9130 | Full Heart Recovery, Llc 543 Valley Rd Suite 6 Upper Montclair NJ 07043-1881 Ph: (973) 744-9130 |
| NPI Number | 1912397704 |
|---|---|
| Provider Enumeration Date | 01/31/2015 |
| Last Update Date | 01/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912397704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 03509 (New Jersey) | Primary |
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