Organization
WISE OWL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY ALVAREZ LCSW (THERAPIST)
(973) 544-8574
Entity
Organization
Contact information
Practice address
12-15 BROADWAY, SUITE 2A, FAIR LAWN, NJ 07410-2031
(973) 544-8574
Mailing address
768 GOFFLE RD, HAWTHORNE, NJ 07506-2854
(973) 544-8574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05591200
NJ
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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