| C-line Community Outreach Services | |
|
110 Martin Luther King Jr Dr Jersey City NJ 07305-3168 | |
| (201) 200-1965 | |
| Not Available |
| Full Name | C-line Community Outreach Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 110 Martin Luther King Jr Dr, Jersey City, New Jersey |
| Authorized Official Name and Position | Caroline Nelson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2012001965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C-line Community Outreach Services Po Box 15802 Jersey City NJ 07305-0802 Ph: (201) 936-2918 | C-line Community Outreach Services 110 Martin Luther King Jr Dr Jersey City NJ 07305-3168 Ph: (201) 200-1965 |
| NPI Number | 1871146498 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871146498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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