| New Directions Substance Abuse | |
|
9 Lincoln Park Newark NJ 07102-2301 | |
| (973) 242-6599 | |
| (973) 242-2118 |
| Full Name | New Directions Substance Abuse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 Lincoln Park, Newark, New Jersey |
| Authorized Official Name and Position | Roy Hargrove Jr (OWNER) |
| Authorized Official Contact | 9732426599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Substance Abuse 9 Lincoln Park Newark NJ 07102-2301 Ph: (973) 242-6599 | New Directions Substance Abuse 9 Lincoln Park Newark NJ 07102-2301 Ph: (973) 242-6599 |
| NPI Number | 1023146586 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023146586 | NPI | - | NPPES |
| 0019194 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 23255 (New Jersey) | Primary |
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