First Choice Recovery Center Pc

LBN: First Choice Recovery Center Pc
First Choice Recovery Center Pc is an health care organization with primary practice located at 61 N Maple Ave Ste 302 , Ridgewood NJ 07450-3232. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. First Choice Recovery Center Pc can be contacted via phone (201) 956-9483, or through Puthiyathu, Manoj via phone (201) 956-9483.

Contact Information

Primary practice address
61 N Maple Ave Ste 302 Ridgewood NJ 07450-3232
Phone: (201) 956-9483
Fax: (201) 288-5262
Website:
Map and Directions
Authorized official contact:
Name: Puthiyathu, Manoj Doctor of Medicine (MD)
Phone: (201) 956-9483

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1962071910
LBN Legal business name First Choice Recovery Center Pc
DBA Doing business as
Authorized official Puthiyathu, Manoj Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962071910 NPPES
New Jersey Other 25MA09523700 STATE LICENSE

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