Organization
PROJECT NEW WAY OF LIFE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH DIXON (PROVIDER)
(908) 280-5804
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL STE 904, EAST ORANGE, NJ 07018-2114
(908) 280-5804
Mailing address
118 DODD ST FL 2, EAST ORANGE, NJ 07017-3213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00268800
NJ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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