American Community Clinical Outreach Centers
Community/Behavioral Health in Newark, NJ. Organization (NPI-2).
NPI number1659898120
StatusActive
Last updated in NPPESAug 25, 2017
Details
- NPI
- 1659898120
- Entity type
- Organization (NPI-2)
- Legal business name
- American Community Clinical Outreach Centers
- Organization subpart
- No
- Enumeration date
- Aug 25, 2017
- Last updated
- Aug 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 173-040 | NJ | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | 173-040 | NJ | |
| 252Y00000X | Early Intervention Provider Agency | 173-040 | NJ | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | 173-040 | NJ | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 173-040 | NJ | |
| 261QM0850X | Clinic/Center, Adult Mental Health | 173-404 | NJ | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 173-040 | NJ |
Other names
- Amecco-USA (Doing Business As)
Practice location
285 Roseville AveNewark, NJ 07107-1703
Phone 973-481-2200
Mailing address
610 Forest View DrAvenel, NJ 07001-2176
Authorized official
Candrick C. Darkashade
Chief Administrator
8484671409
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