Organization
NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Active
Other names
NJCRI
Organization subpart
No
Provider details
NPI number
Authorized official
COREY LYN DESTEFANO (CLINICAL DIRECTOR)
(973) 483-3444
Entity
Organization
Contact information
Practice address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
Mailing address
393 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 483-3444
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
101430204
NJ
Other
Enumeration date
05/09/2018
Last updated
05/05/2025
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