OrganizationActive
Endeavor House North
NPI 1154888469 · Substance Abuse Rehabilitation Facility · Kearny, NJ
Provider details
- NPI number
- 1154888469
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gilbert Yates, Contract Manager(877) 262-7803
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Residential Treatment Facilities
Practice location
206 Bergen Ave
Kearny, NJ 07032-3384
Phone: (732) 210-0509
Fax: (732) 542-1948
Approximate (ZIP-level) locationGet directions
Mailing address
206 Bergen Ave
Kearny, NJ 07032-3384
Other names (DBA / former)
- Doing business as
- Aw II LLC
Registry dates
- Enumerated
- 2019-02-22
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.