Organization
COUNSELING CENTER AT FAIR LAWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA R BURNS RN (CHIEF NURSING OFFICER)
(561) 951-8341
Entity
Organization
Contact information
Practice address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
(732) 431-5300
Mailing address
2328 10TH AVE N, LAKE WORTH, FL 33461-6606
(561) 318-4411
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000502
NJ
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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