C-Line Community Outreach Services INC
Counselor, Addiction (Substance Use Disorder) in Jersey City, NJ. Organization (NPI-2).
NPI number1871146498
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1871146498
- Entity type
- Organization (NPI-2)
- Legal business name
- C-Line Community Outreach Services INC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2019
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 251B00000X | Case Management | – | – |
Other names
- Twin Rivers Recovery (Doing Business As)
Practice location
110 Martin Luther King Jr DrJersey City, NJ 07305-3168
Phone 201-200-1965
Mailing address
78 Martin Luther King Jr DrJersey City, NJ 07305-4690
Phone 201-936-2918
Other practice locations
78 Martin Luther King Jr Dr
Jersey City, NJ 07305-4690
Jersey City, NJ 07305-4690
Phone 201-200-1965
Authorized official
Brittany Anderson
DO
6402092793
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