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QUICKSILVER COUNSELING CENTER INC NPI 1225819618


NPI Information

NPI: 1225819618
Provider Name: QUICKSILVER COUNSELING CENTER INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 31D2281673

Address:
571 CENTRAL AVE STE 108
NEW PROVIDENCE, NJ
ZIP 07974
Phone: (908) 503-0931
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QUICKSILVER COUNSELING CENTER INC is a substance abuse rehabilitation facility in New Providence, NJ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. QUICKSILVER COUNSELING CENTER INC NPI is 1225819618. The provider is registered as an organization entity type.

The provider's business location address is:

571 CENTRAL AVE STE 108
NEW PROVIDENCE, NJ
ZIP 07974-547
Phone: (908) 503-0931
Fax: (908) 235-7573

The provider's authorized official is Richard Hession .
The authorized official title is Ceo and has the following contact phone number (973) 298-5776.

The CLIA number assigned to this NPI record is 31D2281673 - other - outpt substance abuse cli with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2023 and was last updated on 10/11/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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