| United Labor Agency | |
|
30 Clinton St 5th Floor Newark NJ 07102-3726 | |
| (973) 623-7878 | |
| (973) 623-6536 |
| Full Name | United Labor Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 Clinton St, Newark, New Jersey |
| Authorized Official Name and Position | Betsy Guarducci (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9736237878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Labor Agency 30 Clinton St 5th Floor Newark NJ 07102-3726 Ph: (973) 623-7878 | United Labor Agency 30 Clinton St 5th Floor Newark NJ 07102-3726 Ph: (973) 623-7878 |
| NPI Number | 1265698278 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265698278 | NPI | - | NPPES |
| 101676 | Other | NJ | NEW JERSEY SAMS |
| 0165328 | Medicaid | NJ | |
| 2000289 | Other | NJ | NEW JERSEY LICENSE DIVISION OF ADDICTION SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20000289 (New Jersey) | Primary |
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