Organization
THE VAN OST INSTITUTE FOR FAMILY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CARLOS JR. MA LPC (EXECUTIVE DIRECTOR)
(201) 569-6667
Entity
Organization
Contact information
Practice address
150 E PALISADE AVE, ENGLEWOOD, NJ 07631-3013
(201) 569-6667
(201) 569-7504
Mailing address
150 E PALISADE AVE, ENGLEWOOD, NJ 07631-3013
(201) 569-6667
(201) 569-7504
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
22295
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7734204
—
NJ
Enumeration date
12/05/2005
Last updated
08/22/2020
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