Organization
CATHEDRAL COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIECE REID LCSW (EXECUTIVE DIRECTOR)
(732) 585-4040
Entity
Organization
Contact information
Practice address
205 SMITH ST, PERTH AMBOY, NJ 08861-4323
(732) 585-4040
Mailing address
205 SMITH ST, PERTH AMBOY, NJ 08861-4323
(732) 585-4040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC00834900
NJ
Other
Enumeration date
07/05/2007
Last updated
07/31/2007
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