| Organization Name: | ST. CLARES HOSPITAL |
| NPI Number: | 1497819866 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANNE GRACE DEVALVE (SENIOR CLINICIAN) |
| Mailing Address: | 130 Powerville Rd Boonton |
| State: | NJ US |
| Postal Code: | 070058705 |
| Phone Number: | 9733161906 |
| Fax Number: | 9733161827 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 276400000X |
| License Number: | 37PC00001000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Rehabilitation, Substance Use Disorder Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |