Northeast Life Skills Associates, Inc.
NPI #1093707192 in Passaic, New Jersey
Provider Information
- NPI Number
- 1093707192
- Entity Type
- Organization
- Organization Name
- Northeast Life Skills Associates, Inc.
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Aug 16, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 121 HOWE AVE
- City
- Passaic
- State
- New Jersey
- ZIP Code
- 07055-4013
- Phone
- (973) 777-2962
Authorized Official
- Name
- MS. CAROLYN FRANCES ILLGE, MHS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (973) 777-2962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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