Shore Break Recovery

LBN: Shore Break Recovery
Shore Break Recovery is an health care organization with primary practice located at 6 Chestnut St Unit 9 , Somers Point NJ 08244-1125. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Shore Break Recovery can be contacted via phone (609) 709-0244, or through Koch, Ian via phone (609) 709-0244.

Contact Information

Primary practice address
6 Chestnut St Unit 9 Somers Point NJ 08244-1125
Phone: (609) 709-0244
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koch, Ian LCADC
Phone: (609) 709-0244

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1407438823
LBN Legal business name Shore Break Recovery
DBA Doing business as
Authorized official Koch, Ian LCADC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2021
Last updated Feb 28th, 2024 - about 7 months 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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