Organization Name: | ESV |
NPI Number: | 1093131336 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL DAVID RING (COO) |
Mailing Address: | 74 Us Highway 9 Suite 7 Englishtown |
State: | NJ US |
Postal Code: | 077269209 |
Phone Number: | 7328010103 |
Fax Number: | 7328010105 |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00041500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |