OrganizationActive
City of East Orange
NPI 1487888145 · Methadone Clinic · East Orange, NJ
Provider details
- NPI number
- 1487888145
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Parent organization
- City of East Orange
- Organization subpart
- Yes
- Authorized official
- Yvonne Blake, Director(973) 266-5200
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
110 South Grove Street, 3rd Floor
East Orange, NJ 07018
Phone: (973) 266-5200
Fax: (973) 678-6843
Approximate (ZIP-level) locationGet directions
Mailing address
110 South Grove Street, 3rd Floor
East Orange, NJ 07018
Other names (DBA / former)
- Doing business as
- East Orange Substance Abuse Treatment Program
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2020-01-16
- Certified
- 2020-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.