Organization
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
Active
Other names
St. Mary's Hospital - Seton Comprehensive Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY A. SCHELL ESQ. (SECRETARY, GENERAL COUNSEL)
(909) 235-4311
Entity
Organization
Contact information
Practice address
33 MINERAL SPRING AVE, PASSAIC, NJ 07055-2512
(973) 773-3005
Mailing address
3300 E GUASTI RD, THIRD FLOOR, ONTARIO, CA 91761-8655
(909) 235-4311
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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