| Organization Name: | WELLNESS GROUP OF NEW JERSEY |
| NPI Number: | 1225229321 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE DRAKE (PRESIDENT) |
| Mailing Address: | 400d Lake St Suite 2 Ramsey |
| State: | NJ US |
| Postal Code: | 074461279 |
| Phone Number: | 9086252128 |
| Fax Number: | 9087545907 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |