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Organization
THE WOUNDED HEALER, INC. D/B/A MY FRIENDS HOUSE FAMILY COUNSELING SERV
Active
Organization
THE WOUNDED HEALER, INC. D/B/A MY FRIENDS HOUSE FAMILY COUNSELING SERV
Active
Other names
My Friends House Family Counseling Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LAGUARINA JR. (CEO)
(856) 669-6900
Entity
Organization
Contact information
Practice address
371 GLASSBORO RD, WOODBURY HEIGHTS, NJ 08097-1026
(856) 669-6900
Mailing address
371 GLASSBORO RD, WOODBURY HEIGHTS, NJ 08097-1026
(856) 669-6900
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443867
—
NJ
Enumeration date
06/13/2017
Last updated
06/13/2017
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