| Embrace Psychiatric Wellness Center | |
|
354 South Ave E Westfield NJ 07090-1788 | |
| (908) 233-8065 | |
| (908) 233-8042 |
| Full Name | Embrace Psychiatric Wellness Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 354 South Ave E, Westfield, New Jersey |
| Authorized Official Name and Position | Leopold Jorge Bolona (OWNER) |
| Authorized Official Contact | 9082338065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Psychiatric Wellness Center 354 South Ave E Westfield NJ 07090-1788 Ph: (908) 233-8065 | Embrace Psychiatric Wellness Center 354 South Ave E Westfield NJ 07090-1788 Ph: (908) 233-8065 |
| NPI Number | 1366742868 |
|---|---|
| Provider Enumeration Date | 10/30/2010 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Medicare PECOS PAC ID | 3375714033 |
|---|---|
| Medicare Enrollment ID | O20110929000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366742868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA08702100 (New Jersey) | Primary |
| Provider Name | Leopold Bolona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700043049 PECOS PAC ID: 0749324549 Enrollment ID: I20110929000420 |
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