Organization
C-LINE COMMUNITY OUTREACH SERVICES INC.
Active
Other names
C-line Counseling Center #2
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE NELSON MA, CSW, LCADC (EXECUTIVE DIRECTOR)
(973) 782-4828
Entity
Organization
Contact information
Practice address
680 BROADWAY, PATERSON, NJ 07514-1524
(973) 782-4828
Mailing address
680 BROADWAY, PATERSON, NJ 07514-1524
(973) 782-4828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00195700
NJ
101YM0800X
Mental Health Counselor
37L00122100
NJ
101YM0800X
Mental Health Counselor
37PC00319300
NJ
261QM1300X
Multi-Specialty Clinic/Center
200511-11
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285579
—
NJ
Enumeration date
04/04/2013
Last updated
05/21/2014
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