| Addiction Counseling Vincent G Denotaris Ma Lcadc Sac | |
|
25 Pompton Avenue Verona NJ 07044 | |
| (973) 534-9276 | |
| Not Available |
| Full Name | Addiction Counseling Vincent G Denotaris Ma Lcadc Sac |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25 Pompton Avenue, Verona, New Jersey |
| Authorized Official Name and Position | Vincent G Denotaris (LICENSED DRUG AND ALCOHOL COUNSELOR) |
| Authorized Official Contact | 9735349276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Counseling Vincent G Denotaris Ma Lcadc Sac 25 Pompton Ave Verona NJ 07044-2941 Ph: (973) 534-9276 | Addiction Counseling Vincent G Denotaris Ma Lcadc Sac 25 Pompton Avenue Verona NJ 07044 Ph: (973) 534-9276 |
| NPI Number | 1073982278 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073982278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37LC00190000 (New Jersey) | Primary |
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