Organization Name: | DISCOVERY BEHAVIORAL HEALTH |
NPI Number: | 1598816993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD D OH (DIRECTOR) |
Mailing Address: | 134 Grand Ave Leonia |
State: | NJ US |
Postal Code: | 076052006 |
Phone Number: | 2019691722 |
Fax Number: | 2019691754 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | CN#860526-21-14 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |