| NPI | 1912424805 |
|---|---|
| Doing Business As | AMEICE INTERNATIONAL |
| Entity Type | Organization |
| Authorized Contact | CANDRICK C. DARKASHADE Clinical Psychologist 848-467-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 173-040) |
| Additional Taxonomies | 251S00000X (Licence: NJ 173-040) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 173-040) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 173-040) | |
| 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component (Licence: NJ 173-040) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 173-040) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |