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Organization

NEW DIRECTIONS SUBSTANCE ABUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROY HARGROVE JR (OWNER)
(973) 242-6599
Entity
Organization

Contact information

Practice address
9 LINCOLN PARK, NEWARK, NJ 07102-2301
(973) 242-6599
(973) 242-2118
Mailing address
9 LINCOLN PARK, NEWARK, NJ 07102-2301
(973) 242-6599
(973) 242-2118

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
23255
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019194
NJ
Enumeration date
02/28/2007
Last updated
06/17/2008
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