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General NPI Number Information
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NPI Number | 1194669325
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Entity Type | Organization
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Legal Business Name | BLUECREST BEHAVIORAL HEALTH INC.
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1896 PARK MEADOWS DR
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City | FORT MYERS
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State | FL
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Zip | 33907-3738
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Country | US
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Telephone | 239-323-9113
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Fax |
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Provider Business Mailing Address
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Address Line | 482 NOTCH RD
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-1922
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Country | US
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Telephone | 973-298-5776
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | RICHARD HESSION
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Credential |
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Telephone | 201-417-8674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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