Healthcare Provider Details

I. General information

NPI: 1457537375
Provider Name (Legal Business Name): STRAIGHT AND NARROW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 STRAIGHT ST
PATERSON NJ
07503-3044
US

IV. Provider business mailing address

PO BOX 2738
PATERSON NJ
07509-2738
US

V. Phone/Fax

Practice location:
  • Phone: 973-345-6000
  • Fax: 973-345-7279
Mailing address:
  • Phone: 973-345-6000
  • Fax: 973-345-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

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