Northeast Life Skills Associates, Inc.

NPI 1093707192 - Clinic/Center - 261QM2800X

NPI Details
NPI 1093707192
Enumeration Date 08/16/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name CAROLYN FRANCES CAROLYN
Position EXECUTIVE DIRECTOR
Phone (973) 777-2962
Fax (973) 777-7623
Practice Location
121 HOWE AVE
PASSAIC NJ, 07055-4013, US
Phone (973) 777-2962
Fax (973) 777-7623
Business Location
121 HOWE AVE
PASSAIC NJ, 07055-4013, US
Phone (973) 777-2962
Fax (973) 777-7623
Toxanomy
Taxonomy Code 261QM2800X
License State New Jersey
License Number 10CC00058000
Remove 1093707192 NPI Number
 

According to our database, Northeast Life Skills Associates, Inc. NPI is 1093707192, taxonomy code is 261QM2800X and license number is 10CC00058000, license state is located at New Jersey. Northeast Life Skills Associates, Inc. physically located at 121 Howe Ave, Passaic NJ, 07055-4013. NPI Number 1033115704 has the healthcare provider type.

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1093707192 NPI number is provided on an as is basis without warranty of any kind. 1093707192 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Life Skills Associates, Inc. are for informational purposes only.