Doctor Name: | MR. ALBERTO VARGAS |
NPI Number: | 1083059752 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CADC |
License Number: | 1000036 |
Business Practice Address: | 595 County Ave Secaucus, NJ - 070942605 |
Business Phone Number: | 2016172718 |
Business Fax Number: | |
Mailing Address: | 37 Garden Ct N, GARFIELD |
State: | NJ |
Postal Code: | 070262311 |
Phone Number: | 2016021963 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2013 |
NPI Last Update Date: | 05/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 1000036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |