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NPI Code Detail

MEDICARE: GREATER ESSEX COUNSELING SERVICES LLC

MEDICARE: GREATER ESSEX COUNSELING SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1649032590
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER ESSEX COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 4522 KENNEDY BLVD
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-8014
Country : US
Telephone Number : 973-623-7878
Fax Number : 973-623-6536
Provider Business Practice Location Address
First Line : 4522 KENNEDY BLVD
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-8014
Country : US
Telephone Number : 973-623-7878
Fax Number : 973-623-6536
Authorized Official
Title or Position : CEO/FACILITY ADMINISTRATOR
Name : KATY LINTON
Credential :
Telephone Number : 973-623-7878
Provider Enumeration Date : 01/26/2024
Last Update Date : 01/26/2024

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Directions to “GREATER ESSEX COUNSELING SERVICES LLC ” Practice Location

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