Organization
JAMES PARK HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE REESE COVINGTON (OWNER)
(973) 399-3336
Entity
Organization
Contact information
Practice address
5 STUYVESANT AVE, NEWARK, NJ 07106-1711
(973) 399-3336
Mailing address
PO BOX 692, ROSELLE, NJ 07203-0692
(973) 399-3336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MA038265
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021717
—
NJ
Enumeration date
09/16/2006
Last updated
08/22/2020
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