institution
C-line Community Outreach Services
Multi-Specialty Clinic/Center in Jersey City, New Jersey
NPI 1336431675

C-line Community Outreach Services is a Multi-Specialty Clinic/Center based in Jersey City, NJ and is specialized in Multi-Specialty. C-line Community Outreach Services practices in Jersey City, NJ. The NPI Number for C-line Community Outreach Services is 1336431675 and holds a License No. 37LC00116800 (New Jersey).

The current practice location address for C-line Community Outreach Services is 110 Martin Luther King Jr Dr, Jersey City, NJ and can be reached out via phone at 201-200-1965 and via fax at 201-200-1826. You can also correspond with C-line Community Outreach Services through the mailing address at PO BOX 15802, JERSEY CITY, NJ - 07305-0802 (mailing address contact number: 201-200-1965).

Location: 110 Martin Luther King Jr Dr, Jersey City, NJ, 07305-0802
institution
Provider Profile Details
NPI Number
1336431675
Provider Name
C-line Community Outreach Services
Credential
Provider Entity Type
Organization
Address
110 Martin Luther King Jr Dr, Jersey City, NJ, 07305-0802
Phone Number
201-200-1965
Fax Number
201-200-1826
Provider Enumeration Date
05/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0352233 05 NJ
institution
Provider Business Practice Location Address Details
Address
110 Martin Luther King Jr Dr
City
State
Zip
07305-3168
Phone Number
201-200-1965
Fax Number
201-200-1826
person
Provider Business Mailing Address Details
Address
Po Box 15802
City
State
Zip
07305-0802
Phone Number
201-200-1965
Fax Number
201-200-1826
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2000071 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
44SC05375200 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
37LC00116800 (New Jersey)
Definition
Definition to come...
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