| Urban Life Counseling Center, Inc. | |
|
220 S Harrison St Suite A. East Orange NJ 07018-1401 | |
| (973) 677-7053 | |
| (973) 677-7050 |
| Full Name | Urban Life Counseling Center, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 220 S Harrison St, East Orange, New Jersey |
| Authorized Official Name and Position | Thomas Johnson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9736777053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Life Counseling Center, Inc. 220 S Harrison St Suite A. East Orange NJ 07018-1401 Ph: (973) 677-7053 | Urban Life Counseling Center, Inc. 220 S Harrison St Suite A. East Orange NJ 07018-1401 Ph: (973) 677-7053 |
| NPI Number | 1972853034 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972853034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2000036-04 (New Jersey) | Primary |
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