| New Convictions Recovery | |
|
121 Rea Avenue Hawthorne NJ 07506 | |
| (973) 963-4656 | |
| Not Available |
| Full Name | New Convictions Recovery |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 121 Rea Avenue, Hawthorne, New Jersey |
| Authorized Official Name and Position | Roland Achtau (OWNER) |
| Authorized Official Contact | 9735570154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Convictions Recovery 18 Harmer Ter Wayne NJ 07470-2869 Ph: (973) 557-0154 | New Convictions Recovery 121 Rea Avenue Hawthorne NJ 07506 Ph: (973) 963-4656 |
| NPI Number | 1992398424 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/16/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992398424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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