Organization
COMMUNITY PSYCHIATRIC INTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN N FURST LCSW (EXECUTIVE DIRECTOR)
(973) 673-3342
Entity
Organization
Contact information
Practice address
67 SANFORD ST, EAST ORANGE, NJ 07018-1926
(973) 673-3342
(973) 673-5612
Mailing address
67 SANFORD ST, EAST ORANGE, NJ 07018-1926
(973) 673-3342
(973) 673-5612
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2000338-10
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232564
—
NJ
05
—
0232891
—
NJ
Enumeration date
10/04/2010
Last updated
02/13/2023
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