Organization
ENDEAVOR HOUSE NORTH
Active
Other names
AW II LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT YATES (CONTRACT MANAGER)
(877) 262-7803
Entity
Organization
Contact information
Practice address
206 BERGEN AVE, KEARNY, NJ 07032-3384
(732) 210-0509
(732) 542-1948
Mailing address
206 BERGEN AVE, KEARNY, NJ 07032-3384
(732) 210-0509
(732) 542-1948
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
12/19/2024
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