| NPI | 1851444376 |
|---|---|
| Doing Business As | DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENISE WINANT Credentialing Supervisor 732-570-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 39-12) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-02-16 |