Organization
COMMUNITY PSYCHIATRIC INSTITUTE
Active
Parent organization
COMMUNITY PSYCHIATRIC INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY PSYCHIATRIC INSTITUTE
Authorized official
GEORGE GEORGIOU (MIS DIRECTOR)
(973) 673-3342
Entity
Organization
Contact information
Practice address
67 SANFORD ST, EAST ORANGE, NJ 07018-1926
(973) 673-3342
Mailing address
67 SANFORD ST, EAST ORANGE, NJ 07018-1926
(973) 673-3342
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2000338
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016004
—
NJ
Enumeration date
06/14/2018
Last updated
06/14/2018
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