Northeast Life Skills Associates Inc in Passaic - Methadone
Northeast Life Skills Associates Inc - NPI 1891865549
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 1891865549. The last update date is 2020-08-22.
Northeast Life Skills Associates Inc's current location address is 121 Howe Avenue, 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 Avenue, Passaic, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Life Skills Associates Inc |
|---|---|
| Address | 121 Howe Avenue, Passaic, New Jersey |
| Phone Number | 9737772962 |
| Fax Number | 9737777623 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Illge F. Carolyn |
| Credentials | M.H.S |
| Telephone Number | 9737772962 |
NPI Number Detail
| NPI Number | 1891865549 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 121 Howe Avenue |
|---|---|
| City | Passaic |
| State | New Jersey (NJ) |
| Post Code | 7055 |
| Phone Number | 9737772962 |
| Fax Number | 9737777623 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 22306 |
|
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 |
|---|---|---|---|
| 101401 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Northeast Life Skills Associates Inc by the Centers for Medicare & Medicaid Services?
The Northeast Life Skills Associates Inc has been assigned the NPI (National Provider Identifier) 1891865549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Northeast Life Skills Associates Inc's physical address?
The Northeast Life Skills Associates Inc is physically located at 121 Howe Avenue, in the city of Passaic, NJ, with the postal code 7055.
What is the Northeast Life Skills Associates Inc's specialty and taxonomy code?
The Northeast Life Skills Associates Inc's specialty is Methadone, and the corresponding taxonomy code is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891865549 to Northeast Life Skills Associates Inc?
The Centers for Medicare & Medicaid Services assigned the 1891865549 to Northeast Life Skills Associates Inc on 2006-11-09.
As of what date was the information pertaining to Northeast Life Skills Associates Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Northeast Life Skills Associates Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.