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NPI 1174173702

NPI 1174173702 : RELEVANCE BEHAVIORAL HEALTH : FREEHOLD, NJ

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General NPI Number Information
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    NPI Number           |    1174173702
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELEVANCE BEHAVIORAL HEALTH 
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Dates
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    Enumeration Date     |    09/16/2019
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    Last Update Date     |    01/29/2025
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Provider Practice Location Address
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    Address Line         |    61 W MAIN ST 
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    City                 |    FREEHOLD
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    State                |    NJ
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    Zip                  |    07728-2114
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    Country              |    US
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    Telephone            |    732-702-2242
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    Fax                  |    732-702-0080
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Provider Business Mailing Address
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    Address Line         |    61 W MAIN ST 
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    City                 |    FREEHOLD
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    State                |    NJ
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    Zip                  |    07728-2114
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    Country              |    US
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    Telephone            |    732-702-2242
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    Fax                  |    732-702-0080
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     DANIEL  REGAN 
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    Credential           |    
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    Telephone            |    732-702-2242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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