| The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv | |
|
371 Glassboro Road Woodbury Heights NJ 08097-1026 | |
| (856) 669-6900 | |
| (856) 384-0366 |
| Full Name | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 371 Glassboro Road, Woodbury Heights, New Jersey |
| Authorized Official Name and Position | Michael Dulude (CFO) |
| Authorized Official Contact | 8566696900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv 371 Glassboro Road Woodbury Heights NJ 08097-1026 Ph: (856) 669-6900 | The Wounded Healer, Inc. D/b/a My Friends House Family Counseling Serv 371 Glassboro Road Woodbury Heights NJ 08097-1026 Ph: (856) 669-6900 |
| NPI Number | 1093932550 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093932550 | NPI | - | NPPES |
| 8936404 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 23143 (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | 2000403 (New Jersey) | Primary |
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