Provider Demographics
NPI:1255467015
Name:URBAN CARE, LLC
Entity Type:Organization
Organization Name:URBAN CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:973-674-2004
Mailing Address - Street 1:819 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2313
Mailing Address - Country:US
Mailing Address - Phone:973-674-2004
Mailing Address - Fax:973-674-2006
Practice Address - Street 1:819 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2313
Practice Address - Country:US
Practice Address - Phone:973-674-2004
Practice Address - Fax:973-674-2006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0025364101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty