| Organization Name: | THE LENNARD CLINIC, INC |
| NPI Number: | 1003935610 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEWIS WARE (CEO) |
| Mailing Address: | 461 Frelinghuysen Ave Newark |
| State: | NJ US |
| Postal Code: | 071141426 |
| Phone Number: | 9735962850 |
| Fax Number: | 9735968180 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 04/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |