Organization
COMMUNITY SUPPORT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK CLARK (OWNER)
(856) 472-2713
Entity
Organization
Contact information
Practice address
85 MANTUA BLVD, MANTUA, NJ 08051-1448
(856) 472-2713
Mailing address
85 MANTUA BLVD, MANTUA, NJ 08051-1448
(856) 472-2713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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