Northeast Life Skills Associates, Inc
Northeast Life Skills Associates, Inc is a Methadone Clinic in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.
- Licensed in
- NJ
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
121 Howe AvePassaic, NJ 07055-4013
Phone: (973) 777-2962
Fax: (973) 777-7623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Methadone Clinic (primary) | Taxonomy 261QM2800X · Licence 22306 (NJ) |
|---|---|
| Methadone Clinic | Taxonomy 261QM2800X · Licence 10CC00058000 (NJ) |
Record details
| NPI number | 1093707192 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carolyn Illge — Executive Director · (973) 777-2962 |
| Other names | The Passaic Clinic |
| NPI enumerated | August 16, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 121 Howe Ave, Passaic, NJ 07055-4013 |
Other providers in Passaic
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Northeast Life Skills Associates Inc
121 Howe Ave, Passaic, NJ 07055 · (973) 777-2962