UNION FRESH START LLC NPI 1790190965

NPI Information

UNION FRESH START, LLC is a substance abuse rehabilitation facility in Union, 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. UNION FRESH START, LLC NPI is 1790190965. The provider is registered as an organization entity type.
The provider Is Doing Business As Serenity At Summit.

The provider's business location address is:

1000 GALLOPING HILL RD
UNION, NJ
ZIP 07083-989
Phone: (609) 651-4001

The provider's authorized official is Kristina Borzio .
The authorized official title is Staff Member and has the following contact phone number (609) 651-4001.

The CLIA number assigned to this NPI record is 31D2078764 - other - addiction treatment detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2014 and was last updated on 6/26/2014.

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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