Organization · Type 2 NPI

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Community/Behavioral Health Agency · Newark, NJ

NPI number 1699647537 Active

Practice location

191 Ivy St
Newark, NJ 07106-2840

Call (973) 801-3208 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1699647537

He's National Provider Identifier is 1699647537, issued on Sep 20, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Newark, NJ. The record was last updated on Sep 20, 2025.