Organization
RIVER RUN WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BLAKE SEMON LPC, ACS (OWNER)
(908) 399-1274
Entity
Organization
Contact information
Practice address
785 SIGSBEE AVE, PHILLIPSBURG, NJ 08865-4477
(908) 399-1274
Mailing address
785 SIGSBEE AVE, PHILLIPSBURG, NJ 08865-4477
(908) 399-1274
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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