Provider Demographics
NPI:1467667683
Name:COMUNIDAD UNIDA PARA REHABILITACION DE ADICTOS
Entity Type:Organization
Organization Name:COMUNIDAD UNIDA PARA REHABILITACION DE ADICTOS
Other - Org Name:CURA, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:PLAZA
Authorized Official - Suffix:I
Authorized Official - Credentials:MPH
Authorized Official - Phone:973-622-3570
Mailing Address - Street 1:35 LINCOLN PARK
Mailing Address - Street 2:P.O. BOX 180
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-0180
Mailing Address - Country:US
Mailing Address - Phone:973-622-3570
Mailing Address - Fax:973-645-4550
Practice Address - Street 1:729 E LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8005
Practice Address - Country:US
Practice Address - Phone:973-622-3570
Practice Address - Fax:973-645-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ324500000X324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7605609Medicaid
NJ0507482Medicaid
NJ7606303Medicaid
NJ0507504Medicaid
NJ7606001Medicaid
NJ7606303Medicaid
NJ0507504Medicaid
NJ7605803Medicaid