C-Line Counseling Center #2

LBN: C-Line Community Outreach Services Inc.
C-Line Counseling Center #2 is an health care organization with primary practice located at 680 Broadway , Paterson NJ 07514-1524. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. C-Line Community Outreach Services Inc. can be contacted via phone (973) 782-4828, or through Nelson, Caroline via phone (973) 782-4828.

Contact Information

Primary practice address
680 Broadway Paterson NJ 07514-1524
Fax:
Website:
Authorized official contact:
Name: Nelson, Caroline MA, CSW, LCADC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00195700 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00319300 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37L00122100 New Jersey
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 200511-11 New Jersey

Profile Details

NPI number 1720321094
LBN Legal business name C-Line Community Outreach Services Inc.
DBA Doing business as C-Line Counseling Center #2
Authorized official Nelson, Caroline MA, CSW, LCADC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2013
Last updated May 21st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720321094 NPPES
New Jersey MEDICAID 0285579

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