ENTERPRISE ALLIANCE GROUP INC NPI 1619740107

NPI Information

NPI: 1619740107
Provider Name: ENTERPRISE ALLIANCE GROUP INC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
CLIA Number: 31D2126608
Address: 333 N BROAD ST STE 2B
ELIZABETH, NJ
ZIP 07208
Phone: (908) 289-0700

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NPI Details

ENTERPRISE ALLIANCE GROUP INC is a rehabilitation and substance use disorder clinic center in Elizabeth, NJ. ENTERPRISE ALLIANCE GROUP INC NPI is 1619740107. The provider is registered as an organization entity type.

The provider's business location address is:

333 N BROAD ST STE 2B
ELIZABETH, NJ
ZIP 07208-706
Phone: (908) 289-0700
Fax: (908) 289-3913

The provider's authorized official is Ed Mann .
The authorized official title is Clinical Director and has the following contact phone number (908) 289-0700.

The CLIA number assigned to this NPI record is 31D2126608 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 11/6/2023.

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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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: 11/21/2025

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