Organization
RESA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PALMIERI (CEO)
(732) 495-1474
Entity
Organization
Contact information
Practice address
199 MAIN ST, SUITE 2A, KEANSBURG, NJ 07734-1768
(732) 495-1474
Mailing address
211 CAMBRIDGE AVE, STATEN ISLAND, NY 10314-1805
(917) 525-9494
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
2000640
NJ
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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