# NEIGHBORHOOD FAMILY CLINIC AND COUNSELING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043780117
- **Authorized official:** CALLISTA N IWUALA APN (OWNER)
- **Authorized official phone:** (201) 362-9916

## Contact information

- **Practice address:** 860 GROVE ST, IRVINGTON, NJ 07111-3601
- **Practice address phone:** (201) 362-9916
- **Mailing address:** 46 CRYSTAL AVE, WEST ORANGE, NJ 07052-3546
- **Mailing address phone:** (201) 362-9916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 04/16/2025