Organization
CITY OF PASSAIC/ PASSAIC ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A FISCHETTI (DIRECTOR)
(973) 365-5740
Entity
Organization
Contact information
Practice address
286 PASSAIC ST, PASSAIC, NJ 07055-5813
(973) 365-5740
(973) 365-5743
Mailing address
286 PASSAIC ST, PASSAIC, NJ 07055-5813
(973) 365-5740
(973) 365-5743
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000077-07
NJ
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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