Organization Name: | CREATIVE INTERVENTION FOR MENTAL HEALTH AND CHEMICAL DEPENDENCY, PC |
NPI Number: | 1043360266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA GOCHFELD (MEDICAL DIRECTOR) |
Mailing Address: | 1149 Bloomfield Ave Clifton |
State: | NJ US |
Postal Code: | 070122314 |
Phone Number: | 9733652300 |
Fax Number: | 9733650868 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |