Provider Demographics
NPI:1285518068
Name:EL-ZOENIK SUPPORTIVE SERVICES
Entity type:Organization
Organization Name:EL-ZOENIK SUPPORTIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-289-2815
Mailing Address - Street 1:68 MYRTLE AVE APT C5
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3342
Mailing Address - Country:US
Mailing Address - Phone:973-289-2815
Mailing Address - Fax:
Practice Address - Street 1:68 MYRTLE AVE APT C5
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3342
Practice Address - Country:US
Practice Address - Phone:973-289-2815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health