Provider Demographics
NPI:1083168413
Name:THE PARENT TRAIN
Entity Type:Organization
Organization Name:THE PARENT TRAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVANTO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC
Authorized Official - Phone:973-588-4486
Mailing Address - Street 1:104 NEWARK POMPTON TPKE
Mailing Address - Street 2:
Mailing Address - City:PEQUANNOCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07440-1313
Mailing Address - Country:US
Mailing Address - Phone:973-588-4486
Mailing Address - Fax:973-832-7478
Practice Address - Street 1:104 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:PEQUANNOCK
Practice Address - State:NJ
Practice Address - Zip Code:07440-1313
Practice Address - Country:US
Practice Address - Phone:973-588-4486
Practice Address - Fax:973-832-7478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00553700251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health