| Youth And Family Wellness | |
|
76 S Orange Ave Ste 206b South Orange NJ 07079-1923 | |
| (973) 821-4702 | |
| (973) 275-9224 |
| Full Name | Youth And Family Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 76 S Orange Ave Ste 206b, South Orange, New Jersey |
| Authorized Official Name and Position | Emmanuel Rwivanga Ruranga (LICENSED COUNSELOR/OWNER) |
| Authorized Official Contact | 9738214702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth And Family Wellness 277 N Western Dr South Orange NJ 07079-1447 Ph: (973) 821-4702 | Youth And Family Wellness 76 S Orange Ave Ste 206b South Orange NJ 07079-1923 Ph: (973) 821-4702 |
| NPI Number | 1245737824 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245737824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00024200 (New Jersey) | Primary |
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