Park Place

LBN: Eridian Behavioral Health
Park Place is an health care organization with primary practice located at 1011 Bond St , Asbury Park NJ 07712-5939. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Eridian Behavioral Health can be contacted via phone (732) 859-1794, or through Dougherty, Peter E via phone (732) 869-2773.

Contact Information

Primary practice address
1011 Bond St Asbury Park NJ 07712-5939
Phone: (732) 859-1794
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dougherty, Peter E LCSW, LCADC
Phone: (732) 869-2773

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 44SC05427900 New Jersey
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 37LC00188000 New Jersey

Profile Details

NPI number 1952654972
LBN Legal business name Eridian Behavioral Health
DBA Doing business as Park Place
Authorized official Dougherty, Peter E LCSW, LCADC
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2012
Last updated Oct 16th, 2012 - about 12 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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