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Organization
SOUL HOUSE CRUBER WELLNESS CENTER
Active
Organization
SOUL HOUSE CRUBER WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI RASHID MBA (CHIEF FINANCIAL OFFICER)
(973) 399-3100
Entity
Organization
Contact information
Practice address
1144 CLINTON AVENUE, IRVINGTON, NJ 07111
(862) 218-6710
(973) 399-3613
Mailing address
1144 CLINTON AVE, IRVINGTON, NJ 07111-2045
(862) 218-6710
(973) 399-3613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00170100
NJ
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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