Provider Demographics
NPI:1649617515
Name:NEVER ALONE AGAIN DOMESTIC VIOLENCE ORGANIZATION
Entity type:Organization
Organization Name:NEVER ALONE AGAIN DOMESTIC VIOLENCE ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER.
Authorized Official - Prefix:MISS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:F
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-289-1718
Mailing Address - Street 1:668 AMERICAN LEGION DRIVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-289-1718
Mailing Address - Fax:201-487-1936
Practice Address - Street 1:668 AMERICAN LEGION DRIVE
Practice Address - Street 2:SUITE 5
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-289-1718
Practice Address - Fax:201-487-1936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management