Provider Demographics
NPI:1366894537
Name:NEWARK COUNSELING CENTER
Entity type:Organization
Organization Name:NEWARK COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYANTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-699-6762
Mailing Address - Street 1:268 DR. MLK JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102
Mailing Address - Country:US
Mailing Address - Phone:973-699-6762
Mailing Address - Fax:973-218-1868
Practice Address - Street 1:268 DR. MLK JR BLVD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102
Practice Address - Country:US
Practice Address - Phone:973-699-6762
Practice Address - Fax:973-218-1868
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELL MED PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)