Organization
PRASADA CENTER FOR WELLBEING INC
Active
Other names
Prasada In Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE V SHELDON MS (CEO)
(973) 685-5668
Entity
Organization
Contact information
Practice address
181 HOWARD BLVD STE L, MOUNT ARLINGTON, NJ 07856-2314
(973) 658-5668
Mailing address
112 E SHAWNEE TRL, WHARTON, NJ 07885-2920
(973) 814-0106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489981
—
NJ
05
—
0532614
—
NJ
05
—
0622621
—
NJ
Enumeration date
08/30/2022
Last updated
08/30/2022
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