Organization
CATHOLIC CHARITIES, DIOCESE OF METUCHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO J COTO (ASSISTANT EXECUTIVE DIRECTOR)
(732) 324-8200
Entity
Organization
Contact information
Practice address
271 SMITH ST, PERTH AMBOY, NJ 08861-4005
(732) 826-9160
Mailing address
319 MAPLE ST, PERTH AMBOY, NJ 08861-4101
(732) 324-8200
(732) 324-2211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001980
MEDICARE
NJ
Enumeration date
03/05/2007
Last updated
02/08/2008
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