Organization
UBEFITLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEXTER JUAN DAVIS ED.D., LCADC (COO)
(908) 688-4462
Entity
Organization
Contact information
Practice address
360 STILES ST, VAUXHALL, NJ 07088-1329
(908) 265-0916
(908) 688-7959
Mailing address
360 STILES ST, VAUXHALL, NJ 07088-1329
(908) 265-0916
(908) 688-7959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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