| Wind Of Change Foundation Incorporated | |
|
2926 Westfield Ave Camden NJ 08105-2430 | |
| (240) 513-0912 | |
| Not Available |
| Full Name | Wind Of Change Foundation Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2926 Westfield Ave, Camden, New Jersey |
| Authorized Official Name and Position | Eddie Lavaly (PRESIDENT) |
| Authorized Official Contact | 2405130912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind Of Change Foundation Incorporated 2926 Westfield Ave Camden NJ 08105-2430 Ph: (240) 513-0912 | Wind Of Change Foundation Incorporated 2926 Westfield Ave Camden NJ 08105-2430 Ph: (240) 513-0912 |
| NPI Number | 1477124295 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477124295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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