Provider Demographics
NPI:1154915247
Name:REFUGE COUNSELING CENTER LLC
Entity type:Organization
Organization Name:REFUGE COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MENTAL HEALTH SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:CARABAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-621-9087
Mailing Address - Street 1:216 HIGH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4420
Mailing Address - Country:US
Mailing Address - Phone:732-621-9087
Mailing Address - Fax:
Practice Address - Street 1:313 MADISON AVE FL 2
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4107
Practice Address - Country:US
Practice Address - Phone:732-621-9087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty