Soul House Cruber Wellness Center
Counselor, Addiction (Substance Use Disorder) in Irvington, New Jersey
1245754084- Practice location
- 1144 Clinton Avenue, Irvington, NJ 07111
- Phone
- 862-218-6710
- Fax
- 973-399-3613
- Last updated
- July 21, 2022
Soul House Cruber Wellness Center is a healthcare organization based in Irvington, NJ. Soul House Cruber Wellness Center practices in Irvington, NJ. The NPI Number for Soul House Cruber Wellness Center is 1245754084 and holds a License No. 37LC00170100 (NJ). The current practice location address for Soul House Cruber Wellness Center is 1144 Clinton Avenue, Irvington, NJ 07111 and can be reached out via phone at 862-218-6710 and via fax at 973-399-3613.
Provider Profile Details
- NPI Number
- 1245754084
- Provider Name
- Soul House Cruber Wellness Center
- Provider Entity Type
- Organization
- Address
- 1144 Clinton Avenue, Irvington, NJ 07111
- Phone Number
- 862-218-6710
- Fax Number
- 973-399-3613
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Organization Subpart
- No
- Authorized Official
- Mr. Ali Rashid, MBA · Chief Financial Officer · 973-399-3100
- Provider Enumeration Date
- August 2, 2017
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1144 Clinton Avenue
Irvington, NJ 07111 - City
- Irvington
- State
- New Jersey
- Zip
- 07111
- Phone Number
- 862-218-6710
- Fax Number
- 973-399-3613
Provider Business Mailing Address Details
- Address
- 1144 Clinton Ave
Irvington, NJ 07111-2045 - City
- Irvington
- State
- NJ
- Zip
- 07111-2045
- Phone Number
- 862-218-6710
- Fax Number
- 973-399-3613
License Information
- License Number
- 37LC00170100
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Soul House Cruber Wellness Center?
The NPI number of Soul House Cruber Wellness Center is 1245754084. It was assigned on August 2, 2017 and is currently active in the NPPES registry.
What is the specialty of Soul House Cruber Wellness Center?
Soul House Cruber Wellness Center is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00170100.
Where does Soul House Cruber Wellness Center practice?
The practice location is 1144 Clinton Avenue, Irvington, NJ 07111. The office can be reached at 862-218-6710 (phone) or 973-399-3613 (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 1245754084 directly on the NPPES registry website.