Organization
ADDICTION COUNSELING VINCENT G DENOTARIS MA LCADC SAC
Active
Other names
Addiction Counseling Vincent G DeNotaris MA LCADC SAC
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT G DENOTARIS LCADC (LICENSED DRUG AND ALCOHOL COUNSELOR)
(973) 534-9276
Entity
Organization
Contact information
Practice address
25 POMPTON AVENUE, VERONA, NJ 07044
(973) 534-9276
Mailing address
25 POMPTON AVE, VERONA, NJ 07044-2941
(973) 534-9276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37LC00190000
NJ
Other
Enumeration date
09/17/2015
Last updated
01/27/2017
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