Organization
YOUTH AND FAMILY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL RWIVANGA RURANGA MSED.LPC (LICENSED COUNSELOR/OWNER)
(973) 821-4702
Entity
Organization
Contact information
Practice address
76 S ORANGE AVE STE 206B, SOUTH ORANGE, NJ 07079-1923
(973) 821-4702
(973) 275-9224
Mailing address
277 N WESTERN DR, SOUTH ORANGE, NJ 07079-1447
(973) 821-4702
(973) 275-9224
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00024200
NJ
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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