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NPI 1881723047

NPI 1881723047 : CATHOLIC CHARITIES, DIOCESE OF METUCHEN : EAST BRUNSWICK, NJ

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General NPI Number Information
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    NPI Number           |    1881723047
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    Entity Type          |    Organization 
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    Legal Business Name  |    CATHOLIC CHARITIES, DIOCESE OF METUCHEN 
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Dates
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    Enumeration Date     |    03/05/2007
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    288 RUES LN 
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    City                 |    EAST BRUNSWICK
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    State                |    NJ
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    Zip                  |    08816-5699
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    Country              |    US
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    Telephone            |    732-257-6100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    319 MAPLE ST 
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    City                 |    PERTH AMBOY
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    State                |    NJ
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    Zip                  |    08861-4101
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    Country              |    US
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    Telephone            |    732-324-8200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. JULIO J COTO 
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    Credential           |    LCSW
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    Telephone            |    732-324-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    171W00000X
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    Taxonomy Name        |    Contractor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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