Organization
DORIS RUIZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ALVAREZ (SUPPORT SERVICE SUPERVISOR)
(973) 639-5031
Entity
Organization
Contact information
Practice address
285 MAGNOLIA AVE, JERSEY CITY, NJ 07306-3906
(201) 395-4800
Mailing address
172 BOILING SPRINGS AVE, EAST RUTHERFORD, NJ 07073-1812
(201) 951-1169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05424900
NJ
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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