Organization Name: | AFFILIATES IN CLINICAL SERVICES |
NPI Number: | 1063716637 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL K WARE (VP, PRACTICE ADMINISTRATOR) |
Mailing Address: | 305 Roseberry St Suite 8 Phillipsburg |
State: | NJ US |
Postal Code: | 088651600 |
Phone Number: | 9084547244 |
Fax Number: | 9088592109 |
NPI Enumeration Date: | 12/22/2010 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |