Organization Name: | NORTH HUDSON COMMUNITY ACTION CORP. HEALTH CENTER |
NPI Number: | 1023259348 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERTO NEGRON (SUBSTANCE ABUSE COUNSELOR) |
Mailing Address: | 5301 Broaway West New York |
State: | NJ US |
Postal Code: | 07093 |
Phone Number: | 2018669320 |
Fax Number: | 2013303825 |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00064700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |