| Wediko Children's Services | |
|
8 Hillside Ave Montclair NJ 07042-2129 | |
| (646) 481-0185 | |
| Not Available |
| Full Name | Wediko Children's Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 Hillside Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Kristen Renshaw (CO-DIRECTOR) |
| Authorized Official Contact | 6464810184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wediko Children's Services 421 W 145th St New York NY 10031-5203 Ph: () - | Wediko Children's Services 8 Hillside Ave Montclair NJ 07042-2129 Ph: (646) 481-0185 |
| NPI Number | 1881933257 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881933257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 079144-1 (New York) | Primary |
| 251S00000X | Community/behavioral Health | 078168 (New York) | Secondary |
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