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Organization
NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Active
Organization
NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Active
Other names
NJCRI
Organization subpart
No
Provider details
NPI number
Authorized official
COREY LYN DESTEFANO (CLINICAL DIRECTOR)
(973) 483-3444
Entity
Organization
Contact information
Practice address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
Mailing address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
101430204
NJ
Other
Enumeration date
05/09/2018
Last updated
05/05/2025
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