Provider Demographics
NPI:1295370849
Name:RESOURCE CENTER FOR THE CHEMICALLY DEPENDENT, INC.
Entity Type:Organization
Organization Name:RESOURCE CENTER FOR THE CHEMICALLY DEPENDENT, INC.
Other - Org Name:SUSSEX COUNTY AFTERCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANGARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-927-6641
Mailing Address - Street 1:273 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:124 HAMPTON HOUSE RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2804
Practice Address - Country:US
Practice Address - Phone:973-927-6641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone