SPECTRUM HEALTHCARE NPI 1164186375

NPI Information

SPECTRUM HEALTHCARE is a methadone clinic center in Jersey City, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SPECTRUM HEALTHCARE NPI is 1164186375. The provider is registered as an organization entity type.

The provider's business location address is:

74-80 PACIFIC AVENUE
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 451-2544

The provider's authorized official is Diana Thompson .
The authorized official title is Case Manger and has the following contact phone number (201) 451-2544.

The CLIA number assigned to this NPI record is 31D2201360 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.

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:

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