Provider Demographics
NPI:1427525120
Name:RESOLVE COMMUNITY COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:RESOLVE COMMUNITY COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENGELEGI ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-764-9189
Mailing Address - Street 1:1830 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1103
Mailing Address - Country:US
Mailing Address - Phone:908-322-9180
Mailing Address - Fax:908-322-9094
Practice Address - Street 1:1830 FRONT ST
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1103
Practice Address - Country:US
Practice Address - Phone:908-322-9180
Practice Address - Fax:908-322-9094
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESOLVE COMMUNITY COUNSELING CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0183954Medicaid