Organization
DCS SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETRIA COLES-SIMMONS LPC (OPERATOR)
(732) 395-9323
Entity
Organization
Contact information
Practice address
66 HUDSON AVE, NORTH PLAINFIELD, NJ 07060
(732) 395-9323
(908) 547-0055
Mailing address
1515 ROUTE 22 W STE 30, WATCHUNG, NJ 07069-6516
(732) 395-9323
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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