Organization
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
Active
Other names
St. Mary's Hospital - Seton Comprehensive Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
TROY A. SCHELL ESQ. (SECRETARY, GENERAL COUNSEL)
(909) 235-4311
Entity
Organization
Contact information
Practice address
530 MAIN AVE, PASSAIC, NJ 07055-5700
(973) 470-3168
Mailing address
3300 E GUASTI RD, THIRD FLOOR, ONTARIO, CA 91761-8655
(909) 235-4311
(909) 235-4419
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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