169 N STEVENS INC

SOUTH AMBOY, NJ
NPI1225255961
Entity TypeOrganization
Authorized ContactD MICHAEL ASTARITA
President/Primary Therapist
732-525-1149
Organization Subpart ?No
Primary Taxonomy101Y00000X Counselor
(Licence: NJ  37LC00112100)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00112100)
101Y00000X Counselor
(Licence: NJ  44SL05295000)
Enumeration Date2007-04-20
Last Update Date2008-08-08
Business Address
169 N STEVENS INC
147 N BROADWAY
SOUTH AMBOY, NJ 08879-1639
Phone number: 732-525-1149
Mailing Address
169 N STEVENS INC
PO BOX 3251
SOUTH AMBOY, NJ 08879-3251
Phone number: 732-525-1149