Organization
INTERVENTION SPECIALIST
Active
Organization
INTERVENTION SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROHAN CAMPBELL (CEO/PRESIDENT)
(973) 953-8896
Entity
Organization
Contact information
Practice address
583 CHERRY ST, ELIZABETH, NJ 07208-1754
(908) 289-0700
Mailing address
583 CHERRY ST, ELIZABETH, NJ 07208-1754
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
NJ
Other
Enumeration date
11/26/2015
Last updated
11/26/2015
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