Provider Demographics
NPI:1659683001
Name:CLINICAL SERVICES MANAGEMENT, P.C.
Entity Type:Organization
Organization Name:CLINICAL SERVICES MANAGEMENT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & SENIOR PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTRAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-652-4702
Mailing Address - Street 1:6 PROSPECT ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1606
Mailing Address - Country:US
Mailing Address - Phone:201-652-4702
Mailing Address - Fax:201-652-4704
Practice Address - Street 1:6 PROSPECT ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1606
Practice Address - Country:US
Practice Address - Phone:201-652-4702
Practice Address - Fax:201-652-4704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty