Organization
SOUL HOUSE CRUBER WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI RASHID MBA (CHIEF FINANCIAL OFFICER)
(973) 399-3100
Entity
Organization
Contact information
Practice address
1144 CLINTON AVENUE, IRVINGTON, NJ 07111
(862) 218-6710
(973) 399-3613
Mailing address
1144 CLINTON AVE, IRVINGTON, NJ 07111-2045
(862) 218-6710
(973) 399-3613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00170100
NJ
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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