James Park Healthcare Inc in Roselle - Addiction (substance Use Disorder)
James Park Healthcare Inc - NPI 1174629810
James Park Healthcare Inc is a Addiction (substance Use Disorder) in Roselle, New Jersey. James Park Healthcare Inc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James Park Healthcare Inc is 1174629810. The last update date is 2020-08-22.
James Park Healthcare Inc's current location address is Po Box 692, Roselle, New Jersey. You can contact this provider via phone number 9733993336. The mailing address for James Park Healthcare Inc is Po Box 692, Roselle, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James Park Healthcare Inc |
|---|---|
| Address | Po Box 692, Roselle, New Jersey |
| Phone Number | 9733993336 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Covington Reese Michelle |
| Telephone Number | 9733993336 |
NPI Number Detail
| NPI Number | 1174629810 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 692 |
|---|---|
| City | Roselle |
| State | New Jersey (NJ) |
| Post Code | 72030692 |
| Phone Number | 9733993336 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | MA038265 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21717 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to James Park Healthcare Inc by the Centers for Medicare & Medicaid Services?
The James Park Healthcare Inc has been issued the NPI (National Provider Identifier) 1174629810. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where James Park Healthcare Inc's facilities are situated?
The facilities of James Park Healthcare Inc are physically located at the following address: Po Box 692, Roselle, NJ, 72030692.
What is the James Park Healthcare Inc's specialty and taxonomy code?
The James Park Healthcare Inc's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When was the James Park Healthcare Inc's 1174629810 issued?
The James Park Healthcare Inc's 1174629810 was issued on 2006-09-16.
When was the information regarding James Park Healthcare Inc most recently updated?
The details pertaining to the James Park Healthcare Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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