Organization
SANCTUARY FOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA SOTO (OWNER)
(973) 459-0964
Entity
Organization
Contact information
Practice address
18-20 LACKAWANNA PLZ, MONTCLAIR, NJ 07042-3642
(973) 459-0964
Mailing address
PO BOX 185, VERONA, NJ 07044-0185
(973) 459-0964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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