Organization
URBAN RENEWAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANE H. JACOBS (CEO)
(973) 632-9343
Entity
Organization
Contact information
Practice address
53 SOUTH HACKENSACK AVE, KEARNY, NJ 07032
(973) 483-2882
(973) 870-0247
Mailing address
53 SOUTH HACKENSACK AVE, KEARNY, NJ 07032
(973) 483-2882
(973) 870-0247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
22858
NJ
Other
Enumeration date
05/30/2007
Last updated
03/20/2014
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