Organization Name: | BEHAVIORAL HEALTHCARE LLC |
NPI Number: | 1003824624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN A. MALON (OPERATING MANAGER) |
Mailing Address: | 18 Church St Suite 201 Newton |
State: | NJ US |
Postal Code: | 078601756 |
Phone Number: | 9739400116 |
Fax Number: | 9739400104 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NC04592400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |