Garden State Psychiatric Services, Llc

LBN: Garden State Psychiatric Services, Llc
Garden State Psychiatric Services, Llc is an health care organization with primary practice located at 58 Euclid St , Woodbury NJ 08096-4626. 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. Garden State Psychiatric Services, Llc can be contacted via phone (856) 628-4504, or through Wright, Diane via phone (856) 628-4504.

Contact Information

Primary practice address
58 Euclid St Woodbury NJ 08096-4626
Phone: (856) 628-4504
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, Diane
Phone: (856) 628-4504

Health care specialties

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

Profile Details

NPI number 1932766847
LBN Legal business name Garden State Psychiatric Services, Llc
DBA Doing business as
Authorized official Wright, Diane
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2019
Last updated Oct 3rd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932766847 NPPES
New Jersey MEDICAID 00000000

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