Organization
GREEN SPRINGS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE SMITH (CRO)
(629) 401-8486
Entity
Organization
Contact information
Practice address
7 ELY PL, EDISON, NJ 08817-3005
(917) 936-6288
(732) 503-8962
Mailing address
7 ELY PL, EDISON, NJ 08817-3005
(917) 936-6288
(732) 503-8962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
05/06/2026
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