Back On Track Counseling LLC
NPI #1194379255 in Irvington, New Jersey
Provider Information
- NPI Number
- 1194379255
- Entity Type
- Organization
- Organization Name
- Back On Track Counseling LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 27, 2019
- Last Updated
- Jul 27, 2019
Practice Location
- Address
- 19 ORANGE PL
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-2019
- Phone
- (973) 474-8441
Authorized Official
- Name
- MR. MUSTAFA SHAKIR ABDUS-SALAAM, MHS-C,LPC, LCADC
- Title
- CEO
- Phone
- (862) 217-5144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Community/Behavioral Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Counselor - Professional — Professional |
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