Enterprise Alliance Group INC
Clinic/Center, Rehabilitation, Substance Use Disorder in Elizabeth, New Jersey
1619740107- Practice location
- 333 N Broad St Ste 2B, Elizabeth, NJ 07208-3706
- Phone
- 908-289-0700
- Fax
- 908-289-3913
- Last updated
- November 6, 2023
Enterprise Alliance Group INC is a healthcare organization based in Elizabeth, NJ. Enterprise Alliance Group INC practices in Elizabeth, NJ. The NPI Number for Enterprise Alliance Group INC is 1619740107. The current practice location address for Enterprise Alliance Group INC is 333 N Broad St Ste 2B, Elizabeth, NJ 07208-3706 and can be reached out via phone at 908-289-0700 and via fax at 908-289-3913.
Provider Profile Details
- NPI Number
- 1619740107
- Provider Name
- Enterprise Alliance Group INC
- Provider Entity Type
- Organization
- Address
- 333 N Broad St Ste 2B, Elizabeth, NJ 07208-3706
- Phone Number
- 908-289-0700
- Fax Number
- 908-289-3913
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Ed Mann, LCSW · Clinical Director · 908-289-0700
- Other Names
- Enterprise Alliance Group DBA Intervention Special (Doing Business As)
Intervention Specialists (Doing Business As) - Provider Enumeration Date
- November 6, 2023
- Last Update Date
- November 6, 2023
- Certification Date
- November 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 N Broad St Ste 2B
Elizabeth, NJ 07208-3706 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07208-3706
- Phone Number
- 908-289-0700
- Fax Number
- 908-289-3913
Provider Business Mailing Address Details
- Address
- 333 N Broad St Ste 2B
Elizabeth, NJ 07208-3706 - City
- Elizabeth
- State
- NJ
- Zip
- 07208-3706
- Phone Number
- 908-289-0700
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (3)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Rehabilitation, Substance Use Disorders near Elizabeth, NJ
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Frequently Asked Questions
What is the NPI number of Enterprise Alliance Group INC?
The NPI number of Enterprise Alliance Group INC is 1619740107. It was assigned on November 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Enterprise Alliance Group INC?
Enterprise Alliance Group INC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X).
Where does Enterprise Alliance Group INC practice?
The practice location is 333 N Broad St Ste 2B, Elizabeth, NJ 07208-3706. The office can be reached at 908-289-0700 (phone) or 908-289-3913 (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 1619740107 directly on the NPPES registry website.