Organization · Type 2 NPI

Kwenyan Professional Health Services, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Phillipsburg, NJ

NPI number 1003392374 Active

Practice location

291 Pickford Ave
Phillipsburg, NJ 08865-1626

Call (908) 777-3744 Map

Fax (908) 777-3746

Other practice locations

19 Hutton Ave, West Orange, NJ 07052-4803 · (973) 672-6900

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	101950304 (NJ)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

3 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Phillipsburg

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NPI record

NPI: 1003392374
Entity type: Organization (Type 2)
Issued: Jul 19, 2018
Last updated: Jul 19, 2018
Status: Active
Subpart: Yes of Kwenyan Professional Health Services, LLC

Other names

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Kwenyan Professional Health Services, LLC · other name
Kwenyan Professional Health Services, LLC · other name

Authorized official

Dr. Dr. Daniel Estrada Cassell, Ph.d., MPH, PhD, MPH
President/ceo: Administrator
(215) 432-3702

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About NPI 1003392374

Kwenyan Professional Health Services, LLC's National Provider Identifier is 1003392374, issued on Jul 19, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Phillipsburg, NJ. The record was last updated on Jul 19, 2018.