Organization
NEWARK RENAISSANCE HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT DIFLUMERI (CFO EXECUTIVE VICE PRESIDENT)
(973) 623-3386
Entity
Organization
Contact information
Practice address
50 NORFOLK ST # 56, NEWARK, NJ 07103-3228
(973) 623-3386
Mailing address
50 NORFOLK ST # 56, NEWARK, NJ 07103-3228
(973) 623-3386
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0113934
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102202
—
NJ
05
—
7605501
—
NJ
Enumeration date
03/07/2007
Last updated
08/22/2020
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