# CHIMODA YOGA WELLNESS SPACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598672958
- **Authorized official:** KESHA WIGGS MSHS (HEALTH & WELLNESS COACH)
- **Authorized official phone:** (732) 877-5941

## Contact information

- **Practice address:** 912 CRICKET LN, WOODBRIDGE, NJ 07095-1575
- **Practice address phone:** (732) 877-5941
- **Mailing address:** 912 CRICKET LN, WOODBRIDGE, NJ 07095-1575
- **Mailing address phone:** (732) 877-5941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2026
- **Last updated:** 08/24/2026