Organization · Type 2 NPI

The Coleman Institute of America, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Fair Lawn, NJ

NPI number 1649753245 Active

Practice location

23-00 Route 208
Fair Lawn, NJ 07410-1559

Call (214) 379-3300 Map

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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NPI record

NPI: 1649753245
Entity type: Organization (Type 2)
Issued: Sep 10, 2018
Last updated: Jul 29, 2024
Status: Active

Other names

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The Coleman Institute for Addiction Medicine · doing business as
The Coleman Institute for Addiction Medicine · doing business as

Authorized official

Bruce Jarvie
VP, Treasurer
(214) 379-3300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649753245

The Coleman Institute of America, LLC's National Provider Identifier is 1649753245, issued on Sep 10, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jul 29, 2024.