Organization · Type 2 NPI
John B Hudome Innovative Consulting LLC
Adult Mental Health Clinic/Center · Maple Shade, NJ
NPI number
1205169968
Active
Practice location
105 E Main St
Maple Shade, NJ 08052-2621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 44SC01389300 (NJ) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 44SC01389300 (NJ) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1205169968
John B Hudome Innovative Consulting LLC's National Provider Identifier is 1205169968, issued on Sep 14, 2009. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Maple Shade, NJ. The record was last updated on Sep 14, 2009.