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INTER COUNTY COUNCIL ON DRUG AND ALCOHOL ABUSE NPI 1831305598


NPI Information

NPI: 1831305598
Provider Name: INTER COUNTY COUNCIL ON DRUG AND ALCOHOL ABUSE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
480 KEARNY AVE
KEARNY, NJ
ZIP 07032
Phone: (201) 998-7422
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INTER COUNTY COUNCIL ON DRUG AND ALCOHOL ABUSE is a rehabilitation and substance use disorder clinic center in Kearny, NJ. INTER COUNTY COUNCIL ON DRUG AND ALCOHOL ABUSE NPI is 1831305598. The provider is registered as an organization entity type.

The provider's business location address is:

480 KEARNY AVE
KEARNY, NJ
ZIP 07032-736
Phone: (201) 998-7422
Fax: (201) 998-1136

The provider's authorized official is Paola Castano .
The authorized official title is Executive Director and has the following contact phone number (201) 998-7422.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 1/8/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder40941NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10100501-01MEDICAIDNEW JERSEY

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: 11/14/2023

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