Well of Hope Community Development Corporation, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WELL OF HOPE COMMUNITY DEVELOPMENT CORPORATION, INC.

Practice address

207 Broadway
Paterson, NJ 07501-2002

Phone

(973) 523-0700

Fax

(973) 523-6462

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerome King, MPA

Title

Executive Director/Ceo

Phone

(973) 523-0700

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1881981389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012002",
            "fax_number": "973-523-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012002",
            "telephone_number": "973-523-0700",
            "fax_number": "973-523-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL OF HOPE COMMUNITY DEVELOPMENT CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "973-523-0700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lois Weissman, MS, NP
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• Gwendolyn Denise Wells, CPRS
• Welness Center of Northern NJ
• Jodi Michele Welt, MS, RD, PA
• Jeannette Wesseldyke, MA, CCC-SLP

• Substance Use Disorder Rehabilitation Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.