Provider Demographics
NPI:1881819811
Name:STRAIGHT AND NARROW INC
Entity Type:Organization
Organization Name:STRAIGHT AND NARROW INC
Other - Org Name:MEDICAL DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:MACTAS
Authorized Official - Suffix:
Authorized Official - Credentials:ADULT DAY CARE
Authorized Official - Phone:973-345-6000
Mailing Address - Street 1:182 1ST STREET
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-6517
Mailing Address - Country:US
Mailing Address - Phone:973-405-6675
Mailing Address - Fax:973-405-6887
Practice Address - Street 1:182 1ST STREET
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055
Practice Address - Country:US
Practice Address - Phone:973-405-6675
Practice Address - Fax:973-405-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ708100261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3754707Medicaid