# PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Mary's Hospital - Seton Comprehensive Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679992929
- **Authorized official:** TROY A. SCHELL ESQ. (SECRETARY, GENERAL COUNSEL)
- **Authorized official phone:** (909) 235-4311

## Contact information

- **Practice address:** 530 MAIN AVE, PASSAIC, NJ 07055-5700
- **Practice address phone:** (973) 365-3012
- **Mailing address:** 3300 E GUASTI RD, THIRD FLOOR, ONTARIO, CA 91761-8655
- **Mailing address phone:** (909) 235-4311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/15/2014