| Hodges-metamorphosis | |
|
241 Hudson St Ste 33 Hackensack NJ 07601-6708 | |
| (201) 255-7348 | |
| (201) 255-7352 |
| Full Name | Hodges-metamorphosis |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 241 Hudson St Ste 33, Hackensack, New Jersey |
| Authorized Official Name and Position | Marettta Hodges Hodges (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9734445341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hodges-metamorphosis 100 Selvage Ave Teaneck NJ 07666-4819 Ph: (973) 444-5341 | Hodges-metamorphosis 241 Hudson St Ste 33 Hackensack NJ 07601-6708 Ph: (201) 255-7348 |
| NPI Number | 1295359115 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295359115 | NPI | - | NPPES |
| 721247 | Medicaid | NJ |
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