Provider Demographics
NPI:1225819618
Name:QUICKSILVER COUNSELING CENTER INC
Entity Type:Organization
Organization Name:QUICKSILVER COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HESSION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-298-5776
Mailing Address - Street 1:482 NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1922
Mailing Address - Country:US
Mailing Address - Phone:551-777-3600
Mailing Address - Fax:908-325-7573
Practice Address - Street 1:571 CENTRAL AVE STE 108
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1547
Practice Address - Country:US
Practice Address - Phone:908-503-0931
Practice Address - Fax:908-235-7573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility