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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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