Organization · Type 2 NPI

Newly Destined, Inc.

Substance Abuse Rehabilitation Facility · Newark, NJ

NPI number 1477796191 Active

Practice location

920 Broad St # 1114
Newark, NJ 07102-2660

Call (973) 242-8088 Map

Fax (973) 242-8069

Mailing address

1114 Broad Street
Newark, NJ 07102

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1477796191

Newly Destined, Inc.'s National Provider Identifier is 1477796191, issued on Apr 10, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Newark, NJ. The record was last updated on Apr 10, 2009.