Northeast Life Skills Associates INC
NPI #1891865549 in Passaic, New Jersey
Provider Information
- NPI Number
- 1891865549
- Entity Type
- Organization
- Organization Name
- Northeast Life Skills Associates INC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 121 HOWE AVENUE
- City
- Passaic
- State
- New Jersey
- ZIP Code
- 07055
- Phone
- (973) 777-2962
Authorized Official
- Name
- MS. CAROLYN F. ILLGE, M.H.S
- Title
- EXECUTIVE DIRECTOR
- Phone
- (973) 777-2962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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