# FULL HEART RECOVERY, LLC

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

## Provider details

- **NPI number:** 1912397704
- **Authorized official:** DR. HENRY SREDNICKI PH.D. (MEMBER)
- **Authorized official phone:** (973) 744-9130

## Contact information

- **Practice address:** 543 VALLEY RD, SUITE 6, UPPER MONTCLAIR, NJ 07043-1881
- **Practice address phone:** (973) 744-9130
- **Practice address fax:** (973) 863-2354
- **Mailing address:** 543 VALLEY RD, SUITE 6, UPPER MONTCLAIR, NJ 07043-1881
- **Mailing address phone:** (973) 744-9130
- **Mailing address fax:** (973) 863-2354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 03509 | NJ | Yes |

## Other

- **Enumeration date:** 01/31/2015
- **Last updated:** 01/31/2015