Christophe Clinical Therapeutic Services, LLC
Community/Behavioral Health in Brick, NJ. Organization (NPI-2).
NPI number1063872497
StatusActive
Last updated in NPPESJan 17, 2017
Details
- NPI
- 1063872497
- Entity type
- Organization (NPI-2)
- Legal business name
- Christophe Clinical Therapeutic Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2016
- Last updated
- Jan 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 44SC05631600 | NJ | Yes |
Other names
- Community Clinical Services (Doing Business As)
Practice location
1140 Burnt Tavern RdSuite 2c
Brick, NJ 08724-1496
Phone 201-746-5279
Mailing address
1140 Burnt Tavern RdSuite 2c
Brick, NJ 08724-1496
Phone 201-746-5279
Authorized official
Vladimir Christophe
Owner
2017465279
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