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John B Hudome Innovative Consulting Llc
Adolescent and Children Mental Health Clinic/Center in Maple Shade, New Jersey
NPI 1205169968

John B Hudome Innovative Consulting Llc is an Adolescent and Children Mental Health Clinic/Center based in Maple Shade, NJ and is specialized in Adolescent and Children Mental Health. John B Hudome Innovative Consulting Llc practices in Maple Shade, NJ. The NPI Number for John B Hudome Innovative Consulting Llc is 1205169968 and holds a License No. 44SC01389300 (New Jersey).

The current practice location address for John B Hudome Innovative Consulting Llc is 105 E Main St, Maple Shade, NJ and can be reached out via phone at 856-438-5256.

Location: 105 E Main St, Maple Shade, NJ, 08052-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205169968
Provider Name
John B Hudome Innovative Consulting Llc
Credential
Provider Entity Type
Organization
Address
105 E Main St, Maple Shade, NJ, 08052-2621
Phone Number
856-438-5256
Fax Number
Provider Enumeration Date
09/14/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
105 E Main St
City
Maple Shade
State
New Jersey
Zip
08052-2621
Phone Number
856-438-5256
Fax Number
person
Provider Business Mailing Address Details
Address
105 E Main St
City
Maple Shade
State
New Jersey
Zip
08052-2621
Phone Number
856-438-5256
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
44SC01389300 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
44SC01389300 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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