# THE VAN OST INSTITUTE FOR FAMILY LIVING

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

## Provider details

- **NPI number:** 1891779625
- **Authorized official:** MR. WILLIAM CARLOS JR. MA LPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (201) 569-6667

## Contact information

- **Practice address:** 150 E PALISADE AVE, ENGLEWOOD, NJ 07631-3013
- **Practice address phone:** (201) 569-6667
- **Practice address fax:** (201) 569-7504
- **Mailing address:** 150 E PALISADE AVE, ENGLEWOOD, NJ 07631-3013
- **Mailing address phone:** (201) 569-6667
- **Mailing address fax:** (201) 569-7504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 22295 | NJ | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 08/22/2020