Organization
FAITHLIFT & HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA Y QUEZADA LPCC (DIRECTOR OF MENTAL HEALTH SERVICES)
(732) 202-5406
Entity
Organization
Contact information
Practice address
322 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901-3457
(732) 202-5406
Mailing address
335 GEORGE STREET,, SUITE 4 #307, NEW BRUNSWICK, NJ 08901-3457
(732) 202-5406
(908) 312-5076
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
NJ
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
252Y00000X
Early Intervention Provider Agency
—
NJ
Other
Enumeration date
06/05/2015
Last updated
03/04/2024
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