Organization
INTERNATIONAL CENTER FOR OPTIMAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIONNE MARLENE FRANK LCSW (DIRECTOR)
(201) 779-1653
Entity
Organization
Contact information
Practice address
415 LASKO LN, PARLIN, NJ 08859-2331
(201) 779-1653
Mailing address
415 LASKO LN, PARLIN, NJ 08859-2331
(201) 779-1653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
44SC05646800
NJ
Other
Enumeration date
10/04/2016
Last updated
01/15/2025
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