| Wellness U Professional Corporation | |
|
172 Franklin Ave Suite 4 A Ridgewood NJ 07450-3250 | |
| (201) 638-5819 | |
| (866) 836-4161 |
| Full Name | Wellness U Professional Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 172 Franklin Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Pauline Carides (OWNER/CLINICIAN) |
| Authorized Official Contact | 2016385819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness U Professional Corporation 172 Franklin Ave Suite 4 A Ridgewood NJ 07450-3250 Ph: (201) 638-5819 | Wellness U Professional Corporation 172 Franklin Ave Suite 4 A Ridgewood NJ 07450-3250 Ph: (201) 638-5819 |
| NPI Number | 1902103518 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902103518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 44 SC0067340 (New Jersey) | Primary |
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