OrganizationActive
Coleman Addiction Medicine, P.C.
NPI 1295395408 · Substance Use Disorder Rehabilitation Clinic/Center · Fair Lawn, NJ
Provider details
- NPI number
- 1295395408
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Genco D'Andria, Cfo(214) 379-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
23-00 State Rt 208 Ste 1-1
Fair Lawn, NJ 07410-1558
Phone: (617) 996-8365
Approximate (ZIP-level) locationGet directions
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.