Northeast Life Skills Associates INC
Clinic/Center, Methadone Clinic in Passaic, New Jersey
1891865549- Practice location
- 121 Howe Avenue, Passaic, NJ 07055
- 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 1891865549 and holds a License No. 22306 (NJ). The current practice location address for Northeast Life Skills Associates INC is 121 Howe Avenue, Passaic, NJ 07055 and can be reached out via phone at 973-777-2962 and via fax at 973-777-7623.
Provider Profile Details
- NPI Number
- 1891865549
- Provider Name
- Northeast Life Skills Associates INC
- Provider Entity Type
- Organization
- Address
- 121 Howe Avenue, Passaic, NJ 07055
- Phone Number
- 973-777-2962
- Fax Number
- 973-777-7623
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Ms. Carolyn F. Illge, MHS · Executive Director · 973-777-2962
- Provider Enumeration Date
- November 9, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 Howe Avenue
Passaic, NJ 07055 - City
- Passaic
- State
- New Jersey
- Zip
- 07055
- Phone Number
- 973-777-2962
- Fax Number
- 973-777-7623
Provider Business Mailing Address Details
- Address
- 121 Howe Avenue
Passaic, NJ 07055 - City
- Passaic
- State
- NJ
- Zip
- 07055
- Phone Number
- 973-777-2962
- Fax Number
- 973-777-7623
License Information
- License Number
- 22306
- License State
- NJ
- Taxonomy
- 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. | |||
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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 1891865549. It was assigned on November 9, 2006 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 22306.
Where does Northeast Life Skills Associates INC practice?
The practice location is 121 Howe Avenue, Passaic, NJ 07055. 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 1891865549 directly on the NPPES registry website.