Organization · NPI-2

Centerline Clinical Group, LLC

Clinic/Center, Adult Mental Health · Brick, NJ

NPI number1063338549
StatusActive
Last updated in NPPESJun 29, 2026

Details

NPI
1063338549
Entity type
Organization (NPI-2)
Legal business name
Centerline Clinical Group, LLC
Organization subpart
No
Enumeration date
Jun 29, 2026
Certification date
Jun 28, 2026
Last updated
Jun 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

741 Barberry Dr
Brick, NJ 08723-4225

Phone 908-675-3496

Mailing address

741 Barberry Dr
Brick, NJ 08723-4225

Authorized official

Dana Mills
Managing Member
9086753496

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Adult Mental Health providers in Brick, NJ