Organization
COUNSELING CENTER AT CLARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON USILTON (DIRECTOR OF RCM)
(561) 318-4400
Entity
Organization
Contact information
Practice address
60 WALNUT AVE, SUITE #201, CLARK, NJ 07066-1649
(732) 882-1920
(732) 882-1925
Mailing address
60 WALNUT AVE, SUITE #201, CLARK, NJ 07066-1649
(732) 882-1920
(732) 882-1925
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000538
NJ
Other
Enumeration date
12/02/2014
Last updated
11/02/2022
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