Organization · Type 2 NPI
Soul House Cruber Wellness Center
Addiction (Substance Use Disorder) Counselor · Irvington, NJ
NPI number
1245754084
Active
Practice location
1144 Clinton Avenue
Irvington, NJ 07111
Fax (973) 399-3613
Mailing address
1144 Clinton Ave
Irvington, NJ 07111-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00170100 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Irvington
About NPI 1245754084
Soul House Cruber Wellness Center's National Provider Identifier is 1245754084, issued on Aug 2, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Irvington, NJ. The record was last updated on Jul 21, 2022.