Organization
THE LENNARD CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA LAUGHINGHOUSE (CHIEF EXECUTIVE OFFICER)
(973) 596-2850
Entity
Organization
Contact information
Practice address
461 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1426
(973) 596-2850
(973) 596-8180
Mailing address
461 FRELINGHUYSEN AVE, NEWARK, NJ 07114-1426
(973) 596-2850
(973) 596-8180
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000196
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7489200
—
NJ
05
—
7603801
—
NJ
Enumeration date
07/03/2012
Last updated
12/19/2019
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