Organization
URBAN LIFE COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JOHNSON SR. MA, LPC, LCADC, CCS (CHIEF EXECUTIVE OFFICER)
(973) 677-7053
Entity
Organization
Contact information
Practice address
220 S HARRISON ST, SUITE A., EAST ORANGE, NJ 07018-1401
(973) 677-7053
(973) 677-7050
Mailing address
220 S HARRISON ST, SUITE A., EAST ORANGE, NJ 07018-1401
(973) 677-7053
(973) 677-7050
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2000036-04
NJ
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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