Organization
CUMBERLAND COUNTY ALCOHOL AND DRUG ABUSE SERVICES
Active
Organization
CUMBERLAND COUNTY ALCOHOL AND DRUG ABUSE SERVICES
Active
Other names
First Step Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA NAZARIO MHS, MSC, LCADC (EXECUTIVE DIRECTOR)
(856) 451-3727
Entity
Organization
Contact information
Practice address
72 N PEARL ST, BRIDGETON, NJ 08302-1943
(856) 451-3727
(856) 455-9706
Mailing address
72 NORTH PEARL STREET, BRIDGETON, NJ 08302
(856) 451-3727
(856) 455-9706
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
23030
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23030
FACILITY LICENSE #
NJ
Enumeration date
04/23/2007
Last updated
08/22/2020
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