Organization
EVA'S VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SCHMIT (CHIEF EXECUTIVE OFFICER)
(973) 523-6220
Entity
Organization
Contact information
Practice address
393 MAIN ST, PATERSON, NJ 07501-2815
(973) 523-6220
(973) 825-7297
Mailing address
393 MAIN ST, PATERSON, NJ 07501-2815
(937) 523-6220
(973) 825-7297
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
23051
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7199708
—
NJ
05
—
7632703
—
NJ
Enumeration date
03/26/2007
Last updated
01/09/2019
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