Provider Demographics
NPI:1952990483
Name:CLINICAL CARE, LLC
Entity Type:Organization
Organization Name:CLINICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THEOSMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-637-2106
Mailing Address - Street 1:51 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3324
Mailing Address - Country:US
Mailing Address - Phone:732-637-2106
Mailing Address - Fax:732-383-6638
Practice Address - Street 1:51 WILSON AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3324
Practice Address - Country:US
Practice Address - Phone:732-637-2106
Practice Address - Fax:732-383-6638
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINICAL CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty