Organization
BUDDIES OF NEW JERSEY INC
Active
Organization
BUDDIES OF NEW JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMIL VITALE LCADC (CLINICAL DIRECTOR)
(201) 489-2900
Entity
Organization
Contact information
Practice address
149 HUDSON ST, HACKENSACK, NJ 07601-6823
(201) 489-2900
Mailing address
149 HUDSON ST, HACKENSACK, NJ 07601-6823
(201) 489-2900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2000295-08
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250431
PROVIDER ID
NJ
Enumeration date
11/21/2012
Last updated
11/21/2012
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