Organization
ASUN STAR COMMUNITY OUTREACH PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKIE ALSTON (DIRECTOR)
(917) 681-3747
Entity
Organization
Contact information
Practice address
199 RAILROAD AVE STE 3A, EAST RUTHERFORD, NJ 07073-1915
(973) 771-3300
(973) 679-2784
Mailing address
199 RAILROAD AVE STE 3A, EAST RUTHERFORD, NJ 07073-1915
(973) 771-3300
(973) 679-2784
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161497
—
NJ
Enumeration date
02/08/2010
Last updated
09/30/2023
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