| Organization Name: | UBEFITLLC |
| NPI Number: | 1730552647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEXTER JUAN DAVIS (COO) |
| Mailing Address: | 360 Stiles St Vauxhall |
| State: | NJ US |
| Postal Code: | 070881329 |
| Phone Number: | 9082650916 |
| Fax Number: | 9086887959 |
| NPI Enumeration Date: | 11/02/2015 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |