Organization
HODGES-METAMORPHOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARETTTA HODGES HODGES ED.M, MSW (EXECUTIVE DIRECTOR)
(973) 444-5341
Entity
Organization
Contact information
Practice address
241 HUDSON ST STE 33, HACKENSACK, NJ 07601-6708
(201) 255-7348
(201) 255-7352
Mailing address
100 SELVAGE AVE, TEANECK, NJ 07666-4819
(973) 444-5341
(201) 255-7352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721247
—
NJ
Enumeration date
06/05/2020
Last updated
02/03/2022
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