Endeavor House North in Kearny - Rehabilitation, Substance Use Disorder
Endeavor House North - NPI 1215101381
Endeavor House North is a Rehabilitation, Substance Use Disorder in Kearny, New Jersey. Endeavor House North practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Endeavor House North is 1215101381. The last update date is 2008-04-18.
Endeavor House North's current location address is 206 Bergen Ave, Kearny, New Jersey. You can contact this provider via phone number 2019910035 and fax number 2019912066. The mailing address for Endeavor House North is 206 Bergen Ave, Kearny, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Endeavor House North |
|---|---|
| Address | 206 Bergen Ave, Kearny, New Jersey |
| Phone Number | 2019910035 |
| Fax Number | 2019912066 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Sherman Rosemary |
| Telephone Number | 7322643824 |
NPI Number Detail
| NPI Number | 1215101381 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 206 Bergen Ave |
|---|---|
| City | Kearny |
| State | New Jersey (NJ) |
| Post Code | 70323384 |
| Phone Number | 2019910035 |
| Fax Number | 2019912066 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 200021607 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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Post Comment/ Review Below
What is the unique identifier code issued to Endeavor House North by the Centers for Medicare & Medicaid Services?
The Endeavor House North has been assigned the NPI (National Provider Identifier) 1215101381. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Endeavor House North's physical address?
The Endeavor House North is physically located at 206 Bergen Ave, in the city of Kearny, NJ, with the postal code 70323384.
What is Endeavor House North's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Endeavor House North is Rehabilitation, Substance Use Disorder, and the taxonomy classification code that categorizes this area of expertise is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215101381 to Endeavor House North?
The Centers for Medicare & Medicaid Services originally issued the 1215101381 to Endeavor House North on 2008-04-18.
As of what date were the details related to Endeavor House North most recently updated or revised?
The information pertaining to Endeavor House North, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-18.
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