Khaleidoscope Health Care Inc.
Addiction (Substance Use Disorder) Clinic | Counselor
75 Harrison Avenue, Jersey City
New Jersey, 07304-0070
201-451-5425 201-451-7499
Maps & DirectionsKhaleidoscope Health Care Inc. is a Counselor (Addiction (Substance Use Disorder)) Clinic in Jersey City, New Jersey. It is located at 75 Harrison Avenue, Jersey City, NJ and its contact number is 201-451-5425. The authorized person for Khaleidoscope Health Care Inc. is Mr. Larry M Blake
who is Ceo of the clinic and their contact number is 201-451-5425.
Khaleidoscope Health Care Inc. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Khaleidoscope Health Care Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Khaleidoscope Health Care Inc. |
| Specialization: | Addiction (Substance Use Disorder), Counselor |
| Clinic Address: | 75 Harrison Avenue, Jersey City,
New Jersey, 07304-0070 |
| Phone: | 201-451-5425 |
| Fax: | 201-451-7499 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Larry M Blake |
| Position: | Ceo |
| Contact Number: | 201-451-5425 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Khaleidoscope Health Care Inc. clinic are as mentioned below.
| NPI Number: | 1336350909 |
| NPI Enumeration Date: | 25 May, 2007 |
| NPI Last Update On: | 06 Oct, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Khaleidoscope Health Care Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | New Jersey | Primary | |
| Addiction (Substance Use Disorder) | | New Jersey | Secondary | |
| Clinical | | New Jersey | Secondary | |
| Nutrition, Education | | New Jersey | Secondary | |
| Dietitian, Registered | | New Jersey | Secondary | |
| Psychiatry | | New Jersey | Secondary | |
| Multi-Specialty | | New Jersey | Secondary | |
| Methadone | 22613 | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7734301 | Medicaid | New Jersey | |
| 6103201 | Medicaid | New Jersey | |
| 7864108 | Medicaid | New Jersey | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Khaleidoscope Health Care Inc.
P.o. Box 4070, 75 Harrison Avenue
Jersey City, New Jersey |
| Zip: | 07304-0070 |
| Phone Number: | 201-451-5425 |
| Fax Number: | 201-451-7499 |
Patients can reach Khaleidoscope Health Care Inc. at
75 Harrison Avenue, Jersey City, New Jersey or can
call to book an appointment on 201-451-5425.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.