| Balm In Gilead Community Services, Inc | |
|
790 Clinton Ave Newark NJ 07108-1047 | |
| (862) 235-0814 | |
| (973) 926-3577 |
| Full Name | Balm In Gilead Community Services, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 790 Clinton Ave, Newark, New Jersey |
| Authorized Official Name and Position | Viva L White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9735174488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balm In Gilead Community Services, Inc Po Box 28038 Newark NJ 07101-1047 Ph: (973) 517-4488 | Balm In Gilead Community Services, Inc 790 Clinton Ave Newark NJ 07108-1047 Ph: (862) 235-0814 |
| NPI Number | 1972860633 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 09/06/2023 |
| Certification Date | 07/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972860633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37CA00095399 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05454500 (New Jersey) | Primary |
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