Organization
FULL HEART RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY SREDNICKI PH.D. (MEMBER)
(973) 744-9130
Entity
Organization
Contact information
Practice address
543 VALLEY RD, SUITE 6, UPPER MONTCLAIR, NJ 07043-1881
(973) 744-9130
(973) 863-2354
Mailing address
543 VALLEY RD, SUITE 6, UPPER MONTCLAIR, NJ 07043-1881
(973) 744-9130
(973) 863-2354
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
03509
NJ
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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