Healthcare Provider Details

I. General information

NPI: 1578474912
Provider Name (Legal Business Name): COMUNITY AFFAIRS AND RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SOUTH ST
FREEHOLD NJ
07728-2317
US

IV. Provider business mailing address

85 SOUTH ST
FREEHOLD NJ
07728-2317
US

V. Phone/Fax

Practice location:
  • Phone: 732-552-7503
  • Fax:
Mailing address:
  • Phone: 732-552-7503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PAOLA MARIN
Title or Position: DEPUTY DIRECTOR
Credential:
Phone: 732-774-3282