Organization
COMUNIDAD UNIDA PARA LA REHABILITACION DE ADICTOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA E. PLAZA MPH (PRESIDENT/CEO)
(973) 622-3570
Entity
Organization
Contact information
Practice address
75 LINCOLN PARK, NEWARK, NJ 07102-2303
(973) 622-3570
Mailing address
35 LINCOLN PARK, NEWARK, NJ 07102-2390
(973) 622-3570
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1000059
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507474
—
NJ
05
—
7606303
—
NJ
Enumeration date
08/12/2016
Last updated
08/12/2016
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