Organization
LA VILLA MULTI-SERVICES AGENCY, INC.
Active
Organization
LA VILLA MULTI-SERVICES AGENCY, INC.
Active
Other names
La Villa Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY RIVERA MSW (CEO)
(973) 230-7181
Entity
Organization
Contact information
Practice address
100-102 PASSAIC STREET, PASSAIC, NJ 07055
(973) 928-2280
(973) 928-2281
Mailing address
663 MOUNT PROSPECT AVE STE 2, 100-102 PASSAIC ST., PASSAIC, NJ 07055, NEWARK, NJ 07104-3166
(973) 230-7181
(973) 230-1782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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