Organization
ST. CLARES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE GRACE DEVALVE LPC, LCADC (SENIOR CLINICIAN)
(973) 316-1906
Entity
Organization
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1906
(973) 316-1827
Mailing address
19 THRUMONT RD, WEST CALDWELL, NJ 07006-7719
(973) 618-1468
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
37LC00012200
NJ
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
37PC00001000
NJ
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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