Organization
COMUNIDAD UNIDA PARA LA REHABILITACION DE ADICTOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA E. PLAZA (PRESIDENT/CEO)
(973) 622-3570
Entity
Organization
Contact information
Practice address
61 LINCOLN PARK, NEWARK, NJ 07102-2390
(973) 664-5439
(973) 648-0032
Mailing address
35 LINCOLN PARK, NEWARK, NJ 07102-2390
(973) 622-3570
(973) 621-8330
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2000263
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507482
—
NJ
05
—
7606001
—
NJ
Enumeration date
05/31/2016
Last updated
07/06/2016
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