C-LINE COMMUNITY OUTREACH SERVICES INC. NPI 1720321094

NPI Information

  • NPI: 1720321094
  • Provider Name: C-LINE COMMUNITY OUTREACH SERVICES INC.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: C-LINE COUNSELING CENTER #2
  • Address: 680 BROADWAY
    PATERSON, NJ
    ZIP 07514
  • Phone: (973) 782-4828

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NPI Details

C-LINE COMMUNITY OUTREACH SERVICES INC. is an addiction (substance use disorder) counselor in Paterson, NJ. C-LINE COMMUNITY OUTREACH SERVICES INC. NPI is 1720321094. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As C-line Counseling Center #2.

The provider's business location address is:

680 BROADWAY
PATERSON, NJ
ZIP 07514-524
Phone: (973) 782-4828

The provider's authorized official is Caroline Nelson .
The authorized official title is Executive Director and has the following contact phone number (973) 782-4828.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 5/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health37PC00319300NEW JERSEYNo
2101YM0800XCounselorMental Health37L00122100NEW JERSEYNo
3261QM1300XClinic/CenterMulti-Specialty200511-11NEW JERSEYNo
4101YA0400XCounselorAddiction (Substance Use Disorder)37LC00195700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10285579MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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