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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