| Vivid Wellness | |
|
415 Laurel Brook Rd Montvale NJ 07645-1746 | |
| (551) 497-1964 | |
| Not Available |
| Full Name | Vivid Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 415 Laurel Brook Rd, Montvale, New Jersey |
| Authorized Official Name and Position | John Maggio (OWNER) |
| Authorized Official Contact | 5514971964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivid Wellness 415 Laurel Brook Rd Montvale NJ 07645-1746 Ph: () - | Vivid Wellness 415 Laurel Brook Rd Montvale NJ 07645-1746 Ph: (551) 497-1964 |
| NPI Number | 1063272391 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063272391 | NPI | - | NPPES |
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