Organization
JUNIPER WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MICHAEL MCGEE (CO-OWNER)
(732) 237-6053
Entity
Organization
Contact information
Practice address
1316 OPDYKE AVE, OCEAN, NJ 07712-4646
(732) 237-6053
Mailing address
1316 OPDYKE AVE, OCEAN, NJ 07712-4646
(732) 237-6053
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450332871
STATE OF NEW JERSEY
NJ
Enumeration date
03/02/2019
Last updated
03/02/2019
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