Organization
WELL OF HOPE COMMUNITY DEVELOPMENT CORPORATION, INC.
Active
Organization
WELL OF HOPE COMMUNITY DEVELOPMENT CORPORATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME KING MPA (EXECUTIVE DIRECTOR/CEO)
(973) 523-0700
Entity
Organization
Contact information
Practice address
207 BROADWAY, PATERSON, NJ 07501-2002
(973) 523-0700
(973) 523-6462
Mailing address
207 BROADWAY, PATERSON, NJ 07501-2002
(973) 523-6462
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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