| Sanctuary Of Hope And Healing, Llc | |
|
567 Park Ave Suite 101 Scotch Plains NJ 07076-1754 | |
| (908) 322-3282 | |
| (908) 322-2517 |
| Full Name | Sanctuary Of Hope And Healing, Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 567 Park Ave, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Carla J Cooke (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9083223282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Of Hope And Healing, Llc 567 Park Ave Suite 101 Scotch Plains NJ 07076-1754 Ph: (908) 322-3282 | Sanctuary Of Hope And Healing, Llc 567 Park Ave Suite 101 Scotch Plains NJ 07076-1754 Ph: (908) 322-3282 |
| NPI Number | 1811336852 |
|---|---|
| Provider Enumeration Date | 06/24/2013 |
| Last Update Date | 06/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811336852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 35SI00403200 (New Jersey) | Primary |
Roy C. Grzesiak, Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 567 Park Ave Ste 203, Scotch Plains, NJ 07076 Phone: 908-322-1313 Fax: 908-322-1414 | |
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