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Organization

CITY OF EAST ORANGE

Active
Parent organization
CITY OF EAST ORANGE
Other names
East Orange Substance Abuse Treatment Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITY OF EAST ORANGE
Authorized official
MS. YVONNE C. BLAKE (DIRECTOR)
(973) 266-5200
Entity
Organization

Contact information

Practice address
110 SOUTH GROVE STREET, 3RD FLOOR, EAST ORANGE, NJ 07018
(973) 266-5200
(973) 678-6843
Mailing address
110 SOUTH GROVE STREET, 3RD FLOOR, EAST ORANGE, NJ 07018
(973) 266-5200
(973) 678-6843

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
133NN1002X
Nutrition Education Nutritionist
2084P0800X
Psychiatry Physician
261QM2800X
Methadone Clinic
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0400476
NJ
05
7667108
NJ
Enumeration date
05/11/2009
Last updated
01/16/2020
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