Provider Demographics
NPI:1679263875
Name:DCS SUPPORT SERVICES
Entity Type:Organization
Organization Name:DCS SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DETRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLES-SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-395-9323
Mailing Address - Street 1:1515 ROUTE 22 W STE 30
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6516
Mailing Address - Country:US
Mailing Address - Phone:732-395-9323
Mailing Address - Fax:
Practice Address - Street 1:66 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060
Practice Address - Country:US
Practice Address - Phone:732-395-9323
Practice Address - Fax:908-547-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health