| Power House Psychotherapy & Addiction, Llc | |
|
45 Academy St Ste 303 Newark NJ 07102-2900 | |
| (973) 878-3900 | |
| (973) 878-3809 |
| Full Name | Power House Psychotherapy & Addiction, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45 Academy St Ste 303, Newark, New Jersey |
| Authorized Official Name and Position | Temitope Shakirat Oluguna (EXECUTIVE DIRECTOR/ADMINISTRATOR) |
| Authorized Official Contact | 9738783900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Power House Psychotherapy & Addiction, Llc 45 Academy St Ste 303 Newark NJ 07102-2900 Ph: (973) 878-3900 | Power House Psychotherapy & Addiction, Llc 45 Academy St Ste 303 Newark NJ 07102-2900 Ph: (973) 878-3900 |
| NPI Number | 1629586219 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629586219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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