Boys & Girls Club Of Newark Wellness Center

LBN: Boys & Girls Club Of Newark Wellness Center
Boys & Girls Club Of Newark Wellness Center is an health care organization with primary practice located at 1 Avon Ave , Newark NJ 07108-2801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Boys & Girls Club Of Newark Wellness Center can be contacted via phone (973) 242-1200, or through Speights, Gardan via phone (646) 236-5695.

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: (646) 236-5695

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1164006797
LBN Legal business name Boys & Girls Club Of Newark Wellness Center
DBA Doing business as
Authorized official Speights, Gardan Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 10th, 2021
Last updated Dec 13th, 2021 - about 3 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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