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CENTER FOR NETWORK THERAPY NPI 1053813600


NPI Information

NPI: 1053813600
Provider Name: CENTER FOR NETWORK THERAPY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 31D2285868

Address:
81 NORTHFIELD AVE STE 104
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 731-1375
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CENTER FOR NETWORK THERAPY is a rehabilitation and substance use disorder clinic center in West Orange, NJ. CENTER FOR NETWORK THERAPY NPI is 1053813600. The provider is registered as an organization entity type.

The provider's business location address is:

81 NORTHFIELD AVE STE 104
WEST ORANGE, NJ
ZIP 07052-343
Phone: (973) 731-1375
Fax: (973) 731-1374

The provider's authorized official is Kumar Cidambi .
The authorized official title is Partner/owner and has the following contact phone number (732) 560-1080.

The CLIA number assigned to this NPI record is 31D2285868 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder2000674NEW JERSEYYes

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

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