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NPI Code Detail

MEDICARE: WOMEN'S RISING/PROJECT HOME

MEDICARE: WOMEN'S RISING/PROJECT HOME
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
13245S0500XChildren's Substance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013248137
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S RISING/PROJECT HOME
Provider Business Mailing Address
First Line : 657 BERGEN AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-2649
Country : US
Telephone Number : 201-309-4663
Fax Number : 201-309-1380
Provider Business Practice Location Address
First Line : 657 BERGEN AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-2649
Country : US
Telephone Number : 201-309-4663
Fax Number : 201-309-1380
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MR. JOHN NEARY
Credential : LCSW
Telephone Number : 201-309-4663
Provider Enumeration Date : 01/29/2010
Last Update Date : 01/29/2010

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Directions to “WOMEN'S RISING/PROJECT HOME ” Practice Location

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