Organization
HEART & SOUL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FACHION PAYNE (CEO)
(862) 224-8398
Entity
Organization
Contact information
Practice address
329 HALSTED ST, EAST ORANGE, NJ 07018-2533
(862) 224-8398
Mailing address
329 HALSTED ST, EAST ORANGE, NJ 07018-2533
(862) 224-8398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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