Organization · NPI-2

Hodges-Metamorphosis

Social Worker, Clinical · Hackensack, NJ

NPI number1295359115

StatusActive

Last updated in NPPESFeb 3, 2022

Details

NPI: 1295359115
Entity type: Organization (NPI-2)
Legal business name: Hodges-Metamorphosis
Organization subpart: No
Enumeration date: Jun 5, 2020
Certification date: Feb 17, 2021
Last updated: Feb 3, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	–	–	Yes
177F00000X	Lodging	–	–
251S00000X	Community/Behavioral Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	–	–
385H00000X	Respite Care	–	–

Practice location

241 Hudson St Ste 33
Hackensack, NJ 07601-6708

Phone 201-255-7348 · Fax 201-255-7352

Mailing address

100 Selvage Ave
Teaneck, NJ 07666-4819

Phone 973-444-5341 · Fax 201-255-7352

Authorized official

Marettta Hodges Hodges
Executive Director
9734445341

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