Provider Demographics
NPI:1407618036
Name:GREATER ESSEX COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:GREATER ESSEX COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FACILITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-623-7878
Mailing Address - Street 1:4522 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-8014
Mailing Address - Country:US
Mailing Address - Phone:973-623-7878
Mailing Address - Fax:973-623-6536
Practice Address - Street 1:4522 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-8014
Practice Address - Country:US
Practice Address - Phone:973-623-7878
Practice Address - Fax:973-623-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility