Healthcare Provider Details

I. General information

NPI: 1437693975
Provider Name (Legal Business Name): OASIS THERAPEUTIC LIFE CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2016
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 SLEEPY HOLLOW RD
RED BANK NJ
07701-6024
US

IV. Provider business mailing address

1 MORGAN RD
MIDDLETOWN NJ
07748-2354
US

V. Phone/Fax

Practice location:
  • Phone: 732-673-6942
  • Fax:
Mailing address:
  • Phone: 732-673-6942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BARBARA D'AUGUSTA
Title or Position: COO
Credential:
Phone: 732-673-6942