Enterprise Alliance Group Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ENTERPRISE ALLIANCE GROUP INC

Doing business as

Enterprise Alliance Group dba Intervention Special
Intervention Specialists

Practice address

333 N Broad St Ste 2B
Elizabeth, NJ 07208-3706

Phone

(908) 289-0700

Fax

(908) 289-3913

NPI assigned

Nov 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ed Mann, LCSW

Title

Clinical Director

Phone

(908) 289-0700

Specialties & licenses 3

Addresses

Other names 2

• Enterprise Alliance Group dba Intervention Special Doing business as
• Intervention Specialists Doing business as

Tax ID family

Intervention Specialist3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Intervention Specialist

  • Addiction (Substance Use Disorder) Counselor
  • Elizabeth, NJ
  • NPI 1043725161
  NPD tax ID
• Intervention Specialist

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elizabeth, NJ
  • NPI 1750755963
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia H Caracter, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Elizabeth, NJ
  • NPI 1982591053
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1619740107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N BROAD ST STE 2B",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083706",
            "telephone_number": "908-289-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N BROAD ST STE 2B",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083706",
            "telephone_number": "908-289-0700",
            "fax_number": "908-289-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE ALLIANCE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "908-289-0700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enterprise Alliance Group dba Intervention Special",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intervention Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.