Organization
SAVIA COMUNITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAKIMA GONZALEZ LCSW (EXECUTIVE DIRECTOR/ OWNER)
(347) 605-3518
Entity
Organization
Contact information
Practice address
610 ANDERSON AVE, 1F, CLIFFSIDE PARK, NJ 07010
(347) 605-3518
(201) 431-7343
Mailing address
610 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1842
(347) 605-3518
(201) 431-7343
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05429200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0522520
—
NJ
Enumeration date
09/29/2017
Last updated
07/21/2022
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