Healthcare Provider Details

I. General information

NPI: 1174173702
Provider Name (Legal Business Name): RELEVANCE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 W MAIN ST
FREEHOLD NJ
07728-2114
US

IV. Provider business mailing address

61 W MAIN ST
FREEHOLD NJ
07728-2114
US

V. Phone/Fax

Practice location:
  • Phone: 732-702-2242
  • Fax: 732-702-0080
Mailing address:
  • Phone: 732-702-2242
  • Fax: 732-702-0080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIEL REGAN
Title or Position: CEO
Credential:
Phone: 732-702-2242