John B Hudome Innovative Consulting Llc
Adult Mental Health Clinic/Center in Maple Shade, NJ(View on Map)
Legal Business Name
John B Hudome Innovative Consulting Llc
NPI Number
1205169968
NPI Type
Organization
Enumeration Date
09/14/2009
Specialties
(Taxonomies)Code
261QM0850X
261QM0855X
Primary Taxonomy
Yes
No
Licenses
State
New Jersey
License Number
44SC01389300
Contact
Information
Purpose
Mailing
Location
Address
105 E MAIN ST
105 E MAIN ST
City
Maple Shade
Maple Shade
State
NJ
NJ
Postal Code
08052-2621
08052-2621
Country
US
US
Telephone Number
(856) 438-5256
(856) 438-5256
Authorized Official
Name
Dr. John Hudome
Title or Position
OWNER
Telephone Number
(856) 438-5256
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/14/2009
Provider Address
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