| Project New Way Of Life Inc. | |
|
60 Evergreen Pl Ste 904 East Orange NJ 07018-2114 | |
| (908) 280-5804 | |
| Not Available |
| Full Name | Project New Way Of Life Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 60 Evergreen Pl Ste 904, East Orange, New Jersey |
| Authorized Official Name and Position | Randolph Dixon (PROVIDER) |
| Authorized Official Contact | 9082805804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project New Way Of Life Inc. 118 Dodd St Fl 2 East Orange NJ 07017-3213 Ph: () - | Project New Way Of Life Inc. 60 Evergreen Pl Ste 904 East Orange NJ 07018-2114 Ph: (908) 280-5804 |
| NPI Number | 1710465091 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710465091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00268800 (New Jersey) | Primary |
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