Organization
AMERICAN INTERNATIONAL CLINICAL ENTERPRISE
Active
Other names
AMEICE INTERNATIONAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDRICK C. DARKASHADE PHD (CLINICAL PSYCHOLOGIST)
(848) 467-1409
Entity
Organization
Contact information
Practice address
50 NORFOLK ST, NEWARK, NJ 07103-3228
(973) 623-3362
Mailing address
610 FOREST VIEW DR, AVENEL, NJ 07001-2176
(848) 467-1409
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
173-040
NJ
251S00000X
Community/Behavioral Health Agency
173-040
NJ
261QM0850X
Adult Mental Health Clinic/Center
173-040
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
173-040
NJ
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
173-040
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
173-040
NJ
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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