Healthcare Provider Details

I. General information

NPI: 1245729185
Provider Name (Legal Business Name): CLARITY TREATMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 05/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 STATE ST
PERTH AMBOY NJ
08861-4348
US

IV. Provider business mailing address

262 STATE ST
PERTH AMBOY NJ
08861-4348
US

V. Phone/Fax

Practice location:
  • Phone: 732-442-3535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: AVRAHAM SCHICK
Title or Position: PRESIDENT
Credential:
Phone: 917-743-6302