INTERVENTION SPECIALIST NPI 1043725161

NPI Information

NPI: 1043725161
Provider Name: INTERVENTION SPECIALIST
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
583 CHERRY ST
ELIZABETH, NJ
ZIP 07208
Phone: (973) 953-8896
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INTERVENTION SPECIALIST is an addiction (substance use disorder) counselor in Elizabeth, NJ. INTERVENTION SPECIALIST NPI is 1043725161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

583 CHERRY ST
ELIZABETH, NJ
ZIP 07208-754
Phone: (973) 953-8896
Fax: (973) 953-8896

The provider's authorized official is Rohan Campbell .
The authorized official title is Chief Executive Officer and has the following contact phone number (908) 289-0700.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0501433	OTHER	NEW JERSEY	SAI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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