Organization
INTER COUNTY COUNCIL ON DRUG AND ALCOHOL ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA CASTANO LCSW (EXECUTIVE DIRECTOR)
(201) 998-7422
Entity
Organization
Contact information
Practice address
480 KEARNY AVE, KEARNY, NJ 07032-2736
(201) 998-7422
(201) 998-1136
Mailing address
480 KEARNY AVE, KEARNY, NJ 07032-2736
(201) 998-7422
(201) 998-1136
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
40941
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100501-01
—
NJ
Enumeration date
05/16/2007
Last updated
01/08/2020
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