| Organization Name: | WELLSPRING CENTER LLC |
| NPI Number: | 1194868737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAULA L RYAN (CLINICAL SOCIAL WORKER) |
| Mailing Address: | 18c S Centre St Merchantville |
| State: | NJ US |
| Postal Code: | 081092203 |
| Phone Number: | 8566621660 |
| Fax Number: | 8566626110 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC00432100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |