Healthcare Provider Details

I. General information

NPI: 1174739858
Provider Name (Legal Business Name): HIGH POINT PARTIAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 BROAD ST
FLEMINGTON NJ
08822-1603
US

IV. Provider business mailing address

643 CROSS ST
LAKEWOOD NJ
08701-4610
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-5979
  • Fax:
Mailing address:
  • Phone: 732-730-9280
  • Fax: 732-730-9278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNJ

VIII. Authorized Official

Name: AARON STEFANSKY
Title or Position: CONTROLLER
Credential:
Phone: 732-730-9280