Organization
CENTERPATH WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DANIEL LPC (EXECUTIVE DIRECTOR)
(908) 756-6870
Entity
Organization
Contact information
Practice address
117 ROOSEVELT AVE, PLAINFIELD, NJ 07060-1331
(908) 756-6870
(908) 756-5566
Mailing address
117 ROOSEVELT AVE, PLAINFIELD, NJ 07060-1331
(908) 756-6870
(908) 756-5566
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
204050104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015105
—
NJ
05
—
7640706
—
NJ
Enumeration date
05/28/2006
Last updated
11/29/2017
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