| Mrs. Wilson's | |
|
56 Mount Kemble Ave Morristown NJ 07960-5152 | |
| (973) 539-9626 | |
| Not Available |
| Full Name | Mrs. Wilson's |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 56 Mount Kemble Ave, Morristown, New Jersey |
| Authorized Official Name and Position | Michelle Reyes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9735400116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs. Wilson's Po Box 9175 Morristown NJ 07963-9175 Ph: (973) 540-0116 | Mrs. Wilson's 56 Mount Kemble Ave Morristown NJ 07960-5152 Ph: (973) 539-9626 |
| NPI Number | 1023523842 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023523842 | NPI | - | NPPES |
| 7601603 | Medicaid | NJ | |
| 1992152029 | Medicaid | NJ | |
| 1184919961 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2000074 (New Jersey) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 2000074 (New Jersey) | Primary |
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