Organization
INTERSTATE FACTS, LLC
Active
Organization
INTERSTATE FACTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN A DIXON LCSW (EXECUTIVE DIRECTOR)
(201) 488-5188
Entity
Organization
Contact information
Practice address
238 MAIN ST, SUITE 102, HACKENSACK, NJ 07601-7323
(201) 488-5188
(201) 488-5189
Mailing address
238 MAIN ST, SUITE 102, HACKENSACK, NJ 07601-7323
(201) 488-5188
(201) 488-5189
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC01011300
NJ
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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