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Organization

FAMILY SERVICE BUREAU OF NEWARK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHISHU CHOU LPC, LCADC (DIRECTOR OF OPERATIONS)
(973) 412-2056
Entity
Organization

Contact information

Practice address
274 S ORANGE AVE, NEWARK, NJ 07103-2419
(973) 412-2056
(973) 484-3452
Mailing address
274 S ORANGE AVE, NEWARK, NJ 07103-2419
(973) 412-2056
(973) 484-3452

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2084P0802X
Addiction Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7705603
NJ
Enumeration date
11/20/2018
Last updated
11/20/2018
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