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Organization
CREATIVE COUNSELING AND ENLIGHTENMENT CENTER LLC
Active
Organization
CREATIVE COUNSELING AND ENLIGHTENMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J DECOTIIS (GENERAL MANAGER)
(732) 221-7979
Entity
Organization
Contact information
Practice address
320 RARITAN AVE STE 307D, HIGHLAND PARK, NJ 08904-2752
(732) 221-7378
(732) 985-8060
Mailing address
320 RARITAN AVE STE 307D, HIGHLAND PARK, NJ 08904-2752
(732) 221-7378
(732) 985-8060
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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