institution
Northeast Life Skills Associates, Inc.
Methadone Clinic in Passaic, New Jersey
NPI 1093707192

Northeast Life Skills Associates, Inc. is a Methadone Clinic based in Passaic, NJ and is specialized in Methadone. 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. 22306 (New Jersey).

The current practice location address for Northeast Life Skills Associates, Inc. is 121 Howe Ave, Passaic, NJ and can be reached out via phone at 973-777-2962 and via fax at 973-777-7623.

Location: 121 Howe Ave, Passaic, NJ, 07055-4013
institution
Provider Profile Details
NPI Number
1093707192
Provider Name
Northeast Life Skills Associates, Inc.
Credential
Provider Entity Type
Organization
Address
121 Howe Ave, Passaic, NJ, 07055-4013
Phone Number
973-777-2962
Fax Number
973-777-7623
Provider Enumeration Date
08/16/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7633203 05 NJ
0101401 05 NJ
institution
Provider Business Practice Location Address Details
Address
121 Howe Ave
City
State
Zip
07055-4013
Phone Number
973-777-2962
Fax Number
973-777-7623
person
Provider Business Mailing Address Details
Address
121 Howe Ave
City
State
Zip
07055-4013
Phone Number
973-777-2962
Fax Number
973-777-7623
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
22306 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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