| Community Clinical Services | |
|
1140 Burnt Tavern Rd Suite 2c Brick NJ 08724-1496 | |
| (201) 746-5279 | |
| Not Available |
| Full Name | Community Clinical Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1140 Burnt Tavern Rd, Brick, New Jersey |
| Authorized Official Name and Position | Vladimir Christophe (OWNER) |
| Authorized Official Contact | 2017465279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinical Services 1140 Burnt Tavern Rd Suite 2c Brick NJ 08724-1496 Ph: (201) 746-5279 | Community Clinical Services 1140 Burnt Tavern Rd Suite 2c Brick NJ 08724-1496 Ph: (201) 746-5279 |
| NPI Number | 1063872497 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063872497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05631600 (New Jersey) | Primary |
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