Healthcare Provider Details

I. General information

NPI: 1699600445
Provider Name (Legal Business Name): THE ROSE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 COMMERCE ST STE 529
NEWARK NJ
07102-4005
US

IV. Provider business mailing address

24 COMMERCE ST STE 529
NEWARK NJ
07102-4005
US

V. Phone/Fax

Practice location:
  • Phone: 973-510-1992
  • Fax:
Mailing address:
  • Phone: 973-510-1992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NAIMAH TUCKER
Title or Position: CEO
Credential: LSW
Phone: 973-510-1992