Healthcare Provider Details

I. General information

NPI: 1881819811
Provider Name (Legal Business Name): STRAIGHT AND NARROW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 1ST STREET
PASSAIC NJ
07055
US

IV. Provider business mailing address

182 1ST STREET
PASSAIC NJ
07055-6517
US

V. Phone/Fax

Practice location:
  • Phone: 973-405-6675
  • Fax: 973-405-5887
Mailing address:
  • Phone: 973-405-6675
  • Fax: 973-405-6887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number708100
License Number StateNJ

VIII. Authorized Official

Name: MR. DAVID J MACTAS
Title or Position: EXECUTIVE DIRECTOR
Credential: ADULT DAY CARE
Phone: 973-345-6000