C-Line Community Outreach Services
LBN: C-Line Community Outreach Services
C-Line Community Outreach Services is an health care organization with primary practice located at 110 Martin Luther King Jr Dr , Jersey City NJ 07305-3168. 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. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
C-Line Community Outreach Services can be contacted via phone (201) 200-1965, or through Nelson, Caroline via phone (201) 200-1965.
Contact Information
Primary practice address
110 Martin Luther King Jr Dr
Jersey City NJ 07305-3168
Phone: (201) 200-1965
Fax: (201) 200-1826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00116800 | New Jersey |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 44SC05375200 | New Jersey |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | 2000071 | New Jersey |
Profile Details
| NPI number | 1336431675 |
|---|---|
| LBN Legal business name | C-Line Community Outreach Services |
| DBA Doing business as | |
| Authorized official | Nelson, Caroline |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2011 |
| Last updated | May 21st, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336431675 | NPPES |
| New Jersey | MEDICAID | 0352233 |
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