Healthcare Provider Details
I. General information
NPI: 1275963068
Provider Name (Legal Business Name): NEWPOINT BEHAVIORAL HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2013
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 HOLLY DELL DR
SEWELL NJ
08080-9182
US
IV. Provider business mailing address
404 TATUM ST
WOODBURY NJ
08096-3499
US
V. Phone/Fax
- Phone: 856-845-8050
- Fax: 856-845-6132
- Phone: 856-845-8050
- Fax: 856-845-6132
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | 90001-18-04 |
| License Number State | NJ |
VIII. Authorized Official
Name: MR.
VINCENT
J
SANTORO
Title or Position: CFO
Credential:
Phone: 856-845-8050