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Contact Information

FIRST CHOICE RECOVERY CENTER PC
61 N MAPLE AVE STE 302
RIDGEWOOD, NJ07450-3232
 Phone: 201-956-9483
 Fax: 201-288-5262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FIRST CHOICE RECOVERY CENTER PC

NPI # 1962071910
LBN Legal business name FIRST CHOICE RECOVERY CENTER PC
Authorized official MANOJ PUTHIYATHU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2021
Last updated 06/23/2021 - About 5 years ago
Identifiers
NJ Other 25MA09523700 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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