Organization
COMUNIDAD UNIDA PARA REHABILITACION DE ADICTOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERLINDA MORALES (ASST FISCAL OFFICER)
(973) 622-3570
Entity
Organization
Contact information
Practice address
75 LINCOLN PARK, NEWARK, NJ 07102-2303
(973) 622-3570
(973) 622-4550
Mailing address
47 LINCOLN PARK, NEWARK, NJ 07102-2390
(973) 622-3570
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507482
—
NJ
Enumeration date
05/19/2021
Last updated
05/19/2021
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