Organization Name: | SOUTH JERSEY WELLNESS CENTER |
NPI Number: | 1619209038 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET CLARK SORIANO (DIRECTOR) |
Mailing Address: | 19 E Main St Marlton |
State: | NJ US |
Postal Code: | 080532172 |
Phone Number: | 8569859091 |
Fax Number: | 8569859092 |
NPI Enumeration Date: | 02/10/2010 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37PC00050000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |