Organization
LATIN AMERICAN INSTITUTE
Active
Organization
LATIN AMERICAN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA DE BERNAL PHD,LCADC,CASAC (EXECUTIVE DIRECTOR)
(201) 289-2832
Entity
Organization
Contact information
Practice address
10 BANTA PL STE 110, HACKENSACK, NJ 07601-5605
(201) 525-1700
(201) 525-0544
Mailing address
10 BANTA PL STE 110, HACKENSACK, NJ 07601-5605
(201) 525-1700
(201) 525-0544
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
2000433
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2000433
NJ
261QM1300X
Multi-Specialty Clinic/Center
Primary
2000433
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
2000433
NJ
Other
Enumeration date
02/04/2014
Last updated
02/06/2014
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