Healthcare Provider Details

I. General information

NPI: 1639228893
Provider Name (Legal Business Name): HHBH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELECTRONICS DR
HAMILTON NJ
08619-2054
US

IV. Provider business mailing address

1 ELECTRONICS DR
HAMILTON NJ
08619-2054
US

V. Phone/Fax

Practice location:
  • Phone: 609-586-0700
  • Fax: 609-586-0766
Mailing address:
  • Phone: 609-586-0700
  • Fax: 609-586-0766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNJ

VIII. Authorized Official

Name: WILLIAM DEUTSCH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-586-0700