Organization · NPI-2
American International Clinical Enterprise
Psychologist, Clinical · Newark, NJ
NPI number1235654088
StatusActive
Last updated in NPPESAug 12, 2017
Details
- NPI
- 1235654088
- Entity type
- Organization (NPI-2)
- Legal business name
- American International Clinical Enterprise
- Organization subpart
- No
- Enumeration date
- Aug 12, 2017
- Last updated
- Aug 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 173-040 | NJ | Yes |
Other names
- Ameice International (Doing Business As)
Practice location
50 Norfolk StNewark, NJ 07103-3228
Phone 973-623-3386
Mailing address
610 Forest View DrAvenel, NJ 07001-2176
Authorized official
Candrick C. Darkashade
Ceo
8484671409
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