Organization
INTER COUNTY COUNCIL ON DRUG AND ALCOHOL ABUSE
Active
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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