Organization
VANTAGE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN J BOISITS JR. (RESIDENTIAL COORDINATOR)
(201) 214-4661
Entity
Organization
Contact information
Practice address
315 LOCUST ST, TEANECK, NJ 07666-4003
(201) 907-0726
Mailing address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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