Organization
GROUNDING ROOT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARIANO LPC, LCADC (OWNER)
(973) 876-6902
Entity
Organization
Contact information
Practice address
1060 MAIN ST STE 200A, RIVER EDGE, NJ 07661-2591
(973) 876-6902
Mailing address
1060 MAIN ST STE 200A, RIVER EDGE, NJ 07661-2591
(973) 876-6902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
37LC00237300
NJ
Other
Enumeration date
10/03/2017
Last updated
07/01/2020
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