NPI 1013157593

Trinity Uame Church

Organisation Substance Use Disorder Rehabilitation Clinic/Center Newark, NJ

Practice location

Address: 226-230 Warren St, Newark, NJ 07103-3530
Phone: (973) 230-1633
Fax: (973) 230-2890

Authorised official

Name: Diana Jerman
Title: Program Coordinator
Phone: (973) 230-1633

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 2000072-09 (NJ)

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1013157593
Entity type: Organization
NPI issued: 24 Feb 2009
Record last updated: 24 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.