| Iron Recovery And Wellness Center, Inc. | |
|
132 Perry Street Trenton NJ 08618-3968 | |
| (609) 394-8988 | |
| (609) 396-5856 |
| Full Name | Iron Recovery And Wellness Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 Perry Street, Trenton, New Jersey |
| Authorized Official Name and Position | Charles Wolfe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6093948988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iron Recovery And Wellness Center, Inc. 132 Perry Street Trenton NJ 08618-3968 Ph: (609) 394-8988 | Iron Recovery And Wellness Center, Inc. 132 Perry Street Trenton NJ 08618-3968 Ph: (609) 394-8988 |
| NPI Number | 1770796575 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 0648303123 |
|---|---|
| Medicare Enrollment ID | O20100804000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770796575 | NPI | - | NPPES |
| 183739 YBA4 | Other | NJ | MEDICARE PROVIDER ID W/ AGENCY GROUP SUFFIX |
| 2000345 | Other | NJ | DHS LICENSE- AMBULATORY CARE CONSISTING OF ADDICTION SERVICES & OTP |
| 2000078 | Other | NJ | DHS LICENSE- AMBULATORY CARE CONSISTING OF ADDICTION SERVICES |
| 0102903 | Other | NJ | NJ MEDICAID PROVIDER ID: INDEPENDENT CLINIC- NARCOTIC & DRUG ABUSE |
| 2000345 MV1-10 | Other | NJ | DHS DMHAS MOBILE UNIT LICENSE # |
| 215114000 | Other | NJ | MAGELLAN MIS |
| 7603606 | Other | NJ | WFNJ-SAI GROUP PROVIDER ID- INDEP CLINIC NARCOTIC & DRUG ABUSE TX |
| NJ-10046-M | Other | NJ | SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION |
| Provider Name | Christine Capio |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1063624823 PECOS PAC ID: 1456653567 Enrollment ID: I20160106002505 |
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