Organization
SCORES REENTRY INC
Active
Other names
SCORES REENTRY
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA CARMONA (CHIEF EXECUTIVE OFFICER)
(201) 893-6397
Entity
Organization
Contact information
Practice address
401B WOOD RIDGE AVE, WOOD RIDGE, NJ 07075-1531
(201) 893-6397
Mailing address
401B WOOD RIDGE AVE, WOOD RIDGE, NJ 07075-1531
(201) 893-6397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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