| NPI | 1720321094 |
|---|---|
| Doing Business As | C-LINE COUNSELING CENTER #2 |
| Entity Type | Organization |
| Authorized Contact | CAROLINE NELSON Executive Director 973-782-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00195700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00319300) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37l00122100) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 200511-11) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2014-05-21 |