Boys & Girls Club Of Newark

LBN: Boys & Girls Club Of Newark
Boys & Girls Club Of Newark is an health care organization with primary practice located at 1 Avon Ave , Newark NJ 07108-2801. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Boys & Girls Club Of Newark can be contacted via phone (973) 242-1200, or through Speights, Gardan via phone (973) 242-1200.

Contact Information

Primary practice address
1 Avon Ave Newark NJ 07108-2801
Phone: (973) 242-1200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Speights, Gardan Licensed Clinical Social Worker (LCSW)
Phone: (973) 242-1200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1659024149
LBN Legal business name Boys & Girls Club Of Newark
DBA Doing business as
Authorized official Speights, Gardan Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2022
Last updated Feb 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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