Organization
169 N STEVENS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D MICHAEL ASTARITA I LSW,MSW,LCADC (PRESIDENT/PRIMARY THERAPIST)
(732) 525-1149
Entity
Organization
Contact information
Practice address
147 N BROADWAY, SOUTH AMBOY, NJ 08879-1639
(732) 525-1149
(732) 727-6757
Mailing address
PO BOX 3251, SOUTH AMBOY, NJ 08879-3251
(732) 525-1149
(732) 727-6757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37LC00112100
NJ
101Y00000X
Counselor
44SL05295000
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00112100
NJ
Other
Enumeration date
04/20/2007
Last updated
08/08/2008
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