Provider Demographics
NPI:1275979460
Name:STRAIGHT AND NARROW, INC
Entity Type:Organization
Organization Name:STRAIGHT AND NARROW, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALST
Authorized Official - Prefix:MR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLIKIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-345-6000
Mailing Address - Street 1:508 STRAIGHT ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-3044
Mailing Address - Country:US
Mailing Address - Phone:973-345-6000
Mailing Address - Fax:973-345-7279
Practice Address - Street 1:394 STRAIGHT STREET
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-3044
Practice Address - Country:US
Practice Address - Phone:973-345-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1000143324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0658227Medicaid