The Passion Care Center
Counselor, Addiction (Substance Use Disorder) in Perth Amboy, NJ. Organization (NPI-2).
NPI number1982179180
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1982179180
- Entity type
- Organization (NPI-2)
- Legal business name
- The Passion Care Center
- Organization subpart
- No
- Enumeration date
- Oct 4, 2018
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
187 Fayette StPerth Amboy, NJ 08861-4140
Phone 267-909-8264
Mailing address
187 Fayette StPerth Amboy, NJ 08861-4140
Phone 267-909-8264
Authorized official
Omar Riley
Accounts Manager
2679098264
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