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 / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Kwenyan Professional Health Services, Llc can be contacted via phone (973) 672-6901, 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) 672-6901
Fax: (866) 376-8262
Website:
Map and Directions
Authorized official contact:
Name: Cassell, Daniel MA, MPH, LPC, LCADC,
Phone: (973) 672-6900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 2000479-10 New Jersey

Profile Details

NPI number 1457671372
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457671372 NPPES
New Jersey MEDICAID 0226220

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