Northeast Life Skills Associates, INC.
Clinic/Center, Methadone Clinic in Passaic, New Jersey
1093707192- Practice location
- 121 Howe Ave, Passaic, NJ 07055-4013
- Phone
- 973-777-2962
- Fax
- 973-777-7623
- Last updated
- August 22, 2020
Northeast Life Skills Associates, INC. is a healthcare organization based in Passaic, NJ. Northeast Life Skills Associates, INC. practices in Passaic, NJ. The NPI Number for Northeast Life Skills Associates, INC. is 1093707192 and holds a License No. 10CC00058000 (NJ). The current practice location address for Northeast Life Skills Associates, INC. is 121 Howe Ave, Passaic, NJ 07055-4013 and can be reached out via phone at 973-777-2962 and via fax at 973-777-7623.
Provider Profile Details
- NPI Number
- 1093707192
- Provider Name
- Northeast Life Skills Associates, INC.
- Provider Entity Type
- Organization
- Address
- 121 Howe Ave, Passaic, NJ 07055-4013
- Phone Number
- 973-777-2962
- Fax Number
- 973-777-7623
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Ms. Carolyn Frances Illge, MHS · Executive Director · 973-777-2962
- Other Names
- The Passaic Clinic (Former Legal Business Name)
- Provider Enumeration Date
- August 16, 2005
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 Howe Ave
Passaic, NJ 07055-4013 - City
- Passaic
- State
- New Jersey
- Zip
- 07055-4013
- Phone Number
- 973-777-2962
- Fax Number
- 973-777-7623
Provider Business Mailing Address Details
- Address
- 121 Howe Ave
Passaic, NJ 07055-4013 - City
- Passaic
- State
- NJ
- Zip
- 07055-4013
- Phone Number
- 973-777-2962
- Fax Number
- 973-777-7623
License Information
- License Number (1)
- 10CC00058000
- License State (1)
- NJ
- Taxonomy (1)
- Clinic/Center, Methadone Clinic · 261QM2800X
- License Number (2)
- 22306
- License State (2)
- NJ
- Taxonomy (2)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Methadone Clinic providers near Passaic, NJ
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Frequently Asked Questions
What is the NPI number of Northeast Life Skills Associates, INC.?
The NPI number of Northeast Life Skills Associates, INC. is 1093707192. It was assigned on August 16, 2005 and is currently active in the NPPES registry.
What is the specialty of Northeast Life Skills Associates, INC.?
Northeast Life Skills Associates, INC. is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in NJ under license number 10CC00058000.
Where does Northeast Life Skills Associates, INC. practice?
The practice location is 121 Howe Ave, Passaic, NJ 07055-4013. The office can be reached at 973-777-2962 (phone) or 973-777-7623 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093707192 directly on the NPPES registry website.