Organization Name: | CHRIST HOSPITAL |
NPI Number: | 1023175692 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YESENIA TAVERAS (INTAKE COORDINATOR) |
Mailing Address: | 179 Palisade Ave Jersey City |
State: | NJ US |
Postal Code: | 073061103 |
Phone Number: | 2017958375 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |