Leading Youth Through Experience, Llc

LBN: Leading Youth Through Experience, Llc
Leading Youth Through Experience, Llc is an health care organization with primary practice located at 448 19Th Ave , Brick NJ 08724. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Leading Youth Through Experience, Llc can be contacted via phone (732) 458-3201, or through Rosenberg, Jason Mark via phone (732) 458-3201.

Contact Information

Primary practice address
448 19Th Ave Brick NJ 08724
Phone: (732) 458-3201
Fax: (732) 458-3269
Website:
Map and Directions
Authorized official contact:
Name: Rosenberg, Jason Mark
Phone: (732) 458-3201

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 44SC04652800 New Jersey

Profile Details

NPI number 1225240633
LBN Legal business name Leading Youth Through Experience, Llc
DBA Doing business as
Authorized official Rosenberg, Jason Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2007
Last updated Aug 16th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225240633 NPPES
New Jersey MEDICAID 0061913

Popular Providers