NPI | 1073982278 |
---|---|
Former Legal Business Name | ADDICTION COUNSELING VINCENT G DENOTARIS MA LCADC SAC |
Entity Type | Organization |
Authorized Contact | VINCENT G DENOTARIS Licensed Drug And Alcohol Counselor 973-534-9276 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NJ 37LC00190000) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2017-01-27 |