East Orange Substance Abuse Treatment Program
LBN: City Of East Orange
East Orange Substance Abuse Treatment Program is an health care organization with primary practice located at 110 South Grove Street, 3Rd Floor , East Orange NJ 07018. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Nutrition, Education, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
City Of East Orange can be contacted via phone (973) 266-5200, or through Blake, Yvonne C. via phone (973) 266-5200.
Contact Information
Primary practice address
110 South Grove Street, 3Rd Floor
East Orange NJ 07018
Phone: (973) 266-5200
Fax: (973) 678-6843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
Ambulatory Health Care Facilities / Methadone | 261QM2800X |
Profile Details
NPI number | 1487888145 |
---|---|
LBN Legal business name | City Of East Orange |
DBA Doing business as | East Orange Substance Abuse Treatment Program |
Authorized official | Blake, Yvonne C. |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | May 11th, 2009 |
Last updated | Jan 16th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487888145 | NPPES |
New Jersey | MEDICAID | 0400476 | |
New Jersey | MEDICAID | 7667108 |
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