Organization
STAGES OF HEALING- PLENITUD DE VIDA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ESCOBAR LCSW (LICENSED CLINICAL SOCIAL WORKER)
(551) 800-4252
Entity
Organization
Contact information
Practice address
121 CEDAR LN STE 2B, TEANECK, NJ 07666-4457
(551) 800-4252
Mailing address
163 PROSPECT AVE, DUMONT, NJ 07628-2731
(201) 673-7592
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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