Khaleidoscope Health Care Inc.
NPI #1336350909 in Jersey City, New Jersey
Provider Information
- NPI Number
- 1336350909
- Entity Type
- Organization
- Organization Name
- Khaleidoscope Health Care Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 25, 2007
- Last Updated
- Oct 6, 2023
Practice Location
- Address
- 75 HARRISON AVENUE
- City
- Jersey City
- State
- New Jersey
- ZIP Code
- 07304-0070
- Phone
- (201) 451-5425
Authorized Official
- Name
- MR. LARRY M BLAKE, LCSW
- Title
- CEO
- Phone
- (201) 451-5425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
| Nutritionist - Nutrition, Education — Nutrition, Education |
| Dietitian, Registered |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Methadone — Methadone |
| Dentist - General Practice — General Practice |
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