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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