Provider Demographics
NPI:1275386609
Name:THE HUBB ARTS & TRAUMA CENTER
Entity Type:Organization
Organization Name:THE HUBB ARTS & TRAUMA CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AL-TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-900-6454
Mailing Address - Street 1:135 PRINCE ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3372
Mailing Address - Country:US
Mailing Address - Phone:973-900-6454
Mailing Address - Fax:
Practice Address - Street 1:135 PRINCE ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3372
Practice Address - Country:US
Practice Address - Phone:973-900-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty