Healthcare Provider Details

I. General information

NPI: 1144548389
Provider Name (Legal Business Name): CPC BEHAVIORAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HIGH POINT CENTER WAY
MORGANVILLE NJ
07751-4213
US

IV. Provider business mailing address

10 INDUSTRIAL WAY E
EATONTOWN NJ
07724-3332
US

V. Phone/Fax

Practice location:
  • Phone: 732-591-1750
  • Fax: 732-389-3207
Mailing address:
  • Phone: 732-935-2220
  • Fax: 732-389-3207

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: MS. STELLA SANTORA
Title or Position: PATIENT ACCT MGR
Credential:
Phone: 732-935-2260