Northeast Life Skills Associates, Inc. in Passaic - Methadone
Northeast Life Skills Associates, Inc. - NPI 1093707192
Northeast Life Skills Associates, Inc. is a Methadone in Passaic, New Jersey. Northeast Life Skills Associates, Inc. practices all healthcare services and medical treatments related to Methadone. The NPI Number for Northeast Life Skills Associates, Inc. is 1093707192. The last update date is 2020-08-22.
Northeast Life Skills Associates, Inc.'s current location address is 121 Howe Ave, Passaic, New Jersey. You can contact this provider via phone number 9737772962 and fax number 9737777623. The mailing address for Northeast Life Skills Associates, Inc. is 121 Howe Ave, Passaic, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Life Skills Associates, Inc. |
|---|---|
| Address | 121 Howe Ave, Passaic, New Jersey |
| Phone Number | 9737772962 |
| Fax Number | 9737777623 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Illge Frances Carolyn |
| Credentials | MHS |
| Telephone Number | 9737772962 |
NPI Number Detail
| NPI Number | 1093707192 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 121 Howe Ave |
|---|---|
| City | Passaic |
| State | New Jersey (NJ) |
| Post Code | 70554013 |
| Phone Number | 9737772962 |
| Fax Number | 9737777623 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 10CC00058000 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7633203 | NJ | -- | |
| 101401 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Northeast Life Skills Associates, Inc.?
The Northeast Life Skills Associates, Inc. has been issued the NPI (National Provider Identifier) 1093707192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Northeast Life Skills Associates, Inc.?
The Northeast Life Skills Associates, Inc. is situated at 121 Howe Ave, in the city of Passaic, state of NJ, with the zip code 70554013.
What is Northeast Life Skills Associates, Inc.'s area of expertise and its corresponding taxonomy classification?
The Northeast Life Skills Associates, Inc.'s field of specialization is Methadone, and it falls under the taxonomy code 261Qm2800X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1093707192 assigned to Northeast Life Skills Associates, Inc.?
The Northeast Life Skills Associates, Inc. was issued its 1093707192 on 2005-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Northeast Life Skills Associates, Inc. most recently updated or revised?
The details related to Northeast Life Skills Associates, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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