| Empowerment Through Adventure Llc | |
|
86 Elgin Avenue Westmont NJ 08108 | |
| (609) 828-2110 | |
| (856) 854-5423 |
| Full Name | Empowerment Through Adventure Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 86 Elgin Avenue, Westmont, New Jersey |
| Authorized Official Name and Position | Jennifer K Wirth (OWNER) |
| Authorized Official Contact | 6098282110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Through Adventure Llc 86 Elgin Avenue Westmont NJ 08108 Ph: (609) 828-2110 | Empowerment Through Adventure Llc 86 Elgin Avenue Westmont NJ 08108 Ph: (609) 828-2110 |
| NPI Number | 1114041332 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114041332 | NPI | - | NPPES |
| 0037494 | Medicaid | NJ | |
| 0030856 | Medicaid | NJ | |
| 0031101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05230400 (New Jersey) | Primary |
Dr. Lillian C. Scheiner, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 Haddon Avenue, Westmont, NJ 08108 Phone: 856-854-1430 Fax: 856-858-3253 |