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Coleman Addiction Medicine, P.c.
Substance Abuse Rehabilitation Facility in Fair Lawn, New Jersey
NPI 1295395408

Coleman Addiction Medicine, P.c. is a Substance Abuse Rehabilitation Facility based in Lewisville, NJ. Coleman Addiction Medicine, P.c. practices in Fair Lawn, NJ. The NPI Number for Coleman Addiction Medicine, P.c. is 1295395408 and holds a License No. (New Jersey).

The current practice location address for Coleman Addiction Medicine, P.c. is 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ and can be reached out via phone at 617-996-8365.

Location: 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ, 75057-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295395408
Provider Name
Coleman Addiction Medicine, P.c.
Credential
Provider Entity Type
Organization
Address
23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ, 75057-6425
Phone Number
617-996-8365
Fax Number
Provider Enumeration Date
06/19/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
23-00 State Rt 208 Ste 1-1
City
Fair Lawn
State
New Jersey
Zip
07410-1558
Phone Number
617-996-8365
Fax Number
person
Provider Business Mailing Address Details
Address
23-00 State Rt 208 Ste 1-1
City
Fair Lawn
State
New Jersey
Zip
07410-1558
Phone Number
617-996-8365
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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