Organization
PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC
Active
Parent organization
PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC
Other names
St. Clare's Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC
Authorized official
TONI MANZIONE LCSW (OPERATIONS MANAGER)
(973) 316-1899
Entity
Organization
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1899
Mailing address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1899
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482897
—
NJ
Enumeration date
05/01/2019
Last updated
05/01/2019
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