Healthcare Provider Details

I. General information

NPI: 1811047095
Provider Name (Legal Business Name): INTERVENTION SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 MORRIS AVE SUITE 1B
ELIZABETH NJ
07207
US

IV. Provider business mailing address

453 MORRIS AVE SUITE 1B
ELIZABETH NJ
07207
US

V. Phone/Fax

Practice location:
  • Phone: 908-289-0700
  • Fax: 908-289-3913
Mailing address:
  • Phone: 908-289-0700
  • Fax: 908-289-3913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA ANN PAGLIO
Title or Position: DIRECTOR
Credential:
Phone: 908-289-0700