| Ridgewood House Of Wellness Llc | |
|
65 N Maple Ave Ste 202 Ridgewood NJ 07450-3233 | |
| (201) 995-7578 | |
| Not Available |
| Full Name | Ridgewood House Of Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 65 N Maple Ave Ste 202, Ridgewood, New Jersey |
| Authorized Official Name and Position | Susanne Fuhrman (OWNER) |
| Authorized Official Contact | 2019957578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgewood House Of Wellness Llc 185 W Ridgewood Ave Ridgewood NJ 07450-3701 Ph: (201) 264-5959 | Ridgewood House Of Wellness Llc 65 N Maple Ave Ste 202 Ridgewood NJ 07450-3233 Ph: (201) 995-7578 |
| NPI Number | 1841915709 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841915709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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