Icbh

LBN: Icbh
Icbh is an health care organization with primary practice located at 130 Maple Ave Ste Wb2 , Red Bank NJ 07701-1736. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Icbh can be contacted via phone (732) 668-4460, or through Mulligan Attara, Clarissa via phone (732) 668-4460.

Contact Information

Primary practice address
130 Maple Ave Ste Wb2 Red Bank NJ 07701-1736
Phone: (732) 668-4460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mulligan Attara, Clarissa PHD, LPC, LCADC, ACS
Phone: (732) 668-4460

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1770295941
LBN Legal business name Icbh
DBA Doing business as
Authorized official Mulligan Attara, Clarissa PHD, LPC, LCADC, ACS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2022
Last updated Dec 12th, 2023 - about last year

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 1770295941 NPPES
New Jersey Other 0450874979 0450874979

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