Healthcare Provider Details

I. General information

NPI: 1750146270
Provider Name (Legal Business Name): OCA BEHAVIORAL HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 ROUTE 88
POINT PLEASANT BORO NJ
08742-2871
US

IV. Provider business mailing address

2911 ROUTE 88
POINT PLEASANT BORO NJ
08742-2871
US

V. Phone/Fax

Practice location:
  • Phone: 732-477-1020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NGOZI OGUGUA NWOBI
Title or Position: OWNER
Credential:
Phone: 732-477-1020