| Mental Health & Addiction Wellness Center, Llc | |
|
910 Woodland Dr Lakewood NJ 08701-3039 | |
| (732) 806-5630 | |
| Not Available |
| Full Name | Mental Health & Addiction Wellness Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 910 Woodland Dr, Lakewood, New Jersey |
| Authorized Official Name and Position | Andrew Green (OWNER/DIRECTOR) |
| Authorized Official Contact | 7328065630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health & Addiction Wellness Center, Llc 910 Woodland Dr Lakewood NJ 08701-3039 Ph: (732) 806-5630 | Mental Health & Addiction Wellness Center, Llc 910 Woodland Dr Lakewood NJ 08701-3039 Ph: (732) 806-5630 |
| NPI Number | 1629618178 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/13/2020 |
| Certification Date | 01/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629618178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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