| Organization Name: | INHEALTH PA |
| NPI Number: | 1003955824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN NIELSEN (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 15 State Route 15 Lafayette |
| State: | NJ US |
| Postal Code: | 078482007 |
| Phone Number: | 9735796700 |
| Fax Number: | 9735796830 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 08/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |