THE COLEMAN INSTITUTE FOR ADDICTION MEDICINE
NPI 1649753245
Clinic/Center - Rehabilitation, Substance Use Disorder in Fair Lawn, NJ
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About THE COLEMAN INSTITUTE FOR ADDICTION MEDICINE
This page provides the complete NPI Profile along with additional information for The Coleman Institute For Addiction Medicine, a provider established in Fair Lawn, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1649753245 assigned on September 2018. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as The Coleman Institute For Addiction Medicine. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)
- NPI
- 1649753245 Verify this NPI
- Provider Legal Name
- THE COLEMAN INSTITUTE OF AMERICA, LLC
- Other Organization Name
- THE COLEMAN INSTITUTE FOR ADDICTION MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 23-00 ROUTE 208 FAIR LAWN, NJ 07410
- Location Phone
- (214) 379-3300
- Mailing Address
- 1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
- Mailing Phone
- (214) 379-3300
- Mailing Fax
- (214) 853-9018
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-10-2018
- Last Update Date
- 07-29-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649753245, enumerated as an "organization" on September 10, 2018.
The provider is located at 23-00 ROUTE 208 FAIR LAWN, NJ 07410 and the phone number is (214) 379-3300.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.