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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.

Location: 110 Martin Luther King Jr Dr, Jersey City, NJ, 07305-0802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Jersey City
State
New Jersey
Zip
07305-3168
Phone Number
201-200-1965
Fax Number
201-200-1826
person
Provider Business Mailing Address Details
Address
110 Martin Luther King Jr Dr
City
Jersey City
State
New Jersey
Zip
07305-3168
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
101YA0400X
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
101YM0800X
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
261QM1300X
License No.
37LC00116800 (New Jersey)
Definition
Definition to come...
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