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Organization
INNERCORE
Active
Organization
INNERCORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J GREENE LCSW (CEO)
(732) 535-7343
Entity
Organization
Contact information
Practice address
7 ELY PL, EDISON, NJ 08817-3005
(732) 535-7343
Mailing address
7 ELY PL, EDISON, NJ 08817-3005
(732) 535-7343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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