Organization
GREAT EASTERN BEHAVIORAL HEALTH PARTNERS, LLC
Active
Organization
GREAT EASTERN BEHAVIORAL HEALTH PARTNERS, LLC
Active
Other names
New Life Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
UMBERTO BALDASSARRA BA (EXECUTIVE DIRECTOR)
(973) 728-7788
Entity
Organization
Contact information
Practice address
390 MAIN RD, MONTVILLE, NJ 07045-9820
(973) 728-7788
(973) 728-7410
Mailing address
390 MAIN RD, MONTVILLE, NJ 07045-9820
(973) 728-7788
(973) 728-7410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0614424
—
NJ
Enumeration date
02/20/2018
Last updated
01/10/2024
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