Organization
INTERGRATIVE RECOVERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMIL IFTODE (EXECUTIVE DIRECTOR)
(201) 678-1999
Entity
Organization
Contact information
Practice address
200 PASSAIC ST, HACKENSACK, NJ 07601-3525
(201) 678-1999
(201) 441-3529
Mailing address
200 PASSAIC ST, HACKENSACK, NJ 07601-3525
(201) 678-1999
(201) 441-3529
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031593
—
NJ
Enumeration date
06/11/2007
Last updated
08/22/2020
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