Organization
RECOVERY & WELLNESS CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DECAROLIS APN (OWNER)
(917) 751-8700
Entity
Organization
Contact information
Practice address
218 LORRAINE AVE, MONTCLAIR, NJ 07043-1915
(917) 751-8700
Mailing address
605 GROVE ST APT D1, CLIFTON, NJ 07013-3867
(917) 751-8700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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