NPI 1053826800

Dynamic Wellness Solutions

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility New Providence, NJ

Practice location

Address: 95 Grant Ave, New Providence, NJ 07974-2521
Phone: (973) 714-2159
Fax: (908) 665-0621

Authorised official

Name: Lucie Thibeaud Tchouassi
Title: Chief Operating Officer
Phone: (973) 714-2159

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New Jersey →

Registry record

NPI: 1053826800
Entity type: Organization
NPI issued: 1 Dec 2017
Record last updated: 1 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.