Pathways For Enhanced Living, Llc | |
169 Dayton St Ridgewood NJ 07450-4407 | |
(201) 445-3307 | |
Not Available |
Full Name | Pathways For Enhanced Living, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 169 Dayton St, Ridgewood, New Jersey |
Authorized Official Name and Position | Marylynn R. Wiseman (PRESIDENT) |
Authorized Official Contact | 2014453307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pathways For Enhanced Living, Llc 169 Dayton St Ridgewood NJ 07450-4407 Ph: (201) 445-3307 | Pathways For Enhanced Living, Llc 169 Dayton St Ridgewood NJ 07450-4407 Ph: (201) 445-3307 |
NPI Number | 1154443588 |
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Provider Enumeration Date | 04/05/2007 |
Last Update Date | 07/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154443588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC04507100 (New Jersey) | Primary |
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