Organization
INTEGRATIVE RECOVERY & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRU E IFTODE (DIRECTOR)
(201) 678-1999
Entity
Organization
Contact information
Practice address
1 SEARS DR, 4TH. FLOOR, PARAMUS, NJ 07652-3515
(201) 678-1999
(201) 815-2535
Mailing address
1 SEARS DR, 4TH. FLOOR, PARAMUS, NJ 07652-3515
(201) 678-1999
(201) 815-2535
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000503-11
NJ
Other
Enumeration date
05/17/2011
Last updated
12/23/2013
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