# WELLESLEY HEALTHCARE GROUP

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

## Provider details

- **NPI number:** 1912232869
- **Authorized official:** MR. MARLON WELLESLEY GRAY (PRESIDENT)
- **Authorized official phone:** (201) 726-2265

## Contact information

- **Practice address:** 16 W MAIN ST, FL 2, FREEHOLD, NJ 07728-2210
- **Practice address phone:** (732) 333-0197
- **Practice address fax:** (732) 333-0198
- **Mailing address:** 529 BUTTONWOOD DR, JACKSON, NJ 08527-4945
- **Mailing address phone:** (732) 333-0197
- **Mailing address fax:** (732) 333-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2009
- **Last updated:** 10/10/2009