| Organization Name: | AFFINITY COUNSELING CENTER, LLC |
| NPI Number: | 1235261090 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE ANN PASSENTI (MANAGING MEMBER) |
| Mailing Address: | 535 High Mountain Rd Suite 112 North Haledon |
| State: | NJ US |
| Postal Code: | 075082665 |
| Phone Number: | 9734277100 |
| Fax Number: | 9736366116 |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 07/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |