Organization
NORTHWEST ESSEX COMMUNITY HEALTHCARE NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIONIA HAGEMAN (BILLING COORDINATOR)
(973) 450-3100
Entity
Organization
Contact information
Practice address
570 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1308
(973) 450-3105
Mailing address
570 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1308
(973) 450-3105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555193
—
NJ
Enumeration date
07/16/2024
Last updated
07/16/2024
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