Kwenyan Professional Health Services, Llc
LBN: Kwenyan Professional Health Services, Llc
Kwenyan Professional Health Services, Llc is an health care organization with primary practice located at 60 Evergreen Pl Suite 500, East Orange NJ 07018-2106. 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.
Kwenyan Professional Health Services, Llc can be contacted via phone (973) 672-6900, or through Cassell, Daniel via phone (973) 672-6900.
Contact Information
Primary practice address
60 Evergreen Pl Suite 500
East Orange NJ 07018-2106
Phone: (973) 672-6900
Fax: (866) 376-8262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 2000479-10 | New Jersey |
Profile Details
| NPI number | 1326368267 |
|---|---|
| LBN Legal business name | Kwenyan Professional Health Services, Llc |
| DBA Doing business as | |
| Authorized official | Cassell, Daniel MA, MPH, LPC, LCADC, |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2010 |
| Last updated | Jun 2nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326368267 | NPPES |
| New Jersey | MEDICAID | 0227773 |
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