Kwenyan Professional Health Services, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in East Orange, New Jersey
1457671372- Practice location
- 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106
- Phone
- 973-672-6901
- Fax
- 866-376-8262
- Last updated
- June 2, 2011
Kwenyan Professional Health Services, LLC is a healthcare organization based in East Orange, NJ. Kwenyan Professional Health Services, LLC practices in East Orange, NJ. The NPI Number for Kwenyan Professional Health Services, LLC is 1457671372 and holds a License No. 2000479-10 (NJ). The current practice location address for Kwenyan Professional Health Services, LLC is 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 and can be reached out via phone at 973-672-6901 and via fax at 866-376-8262.
Provider Profile Details
- NPI Number
- 1457671372
- Provider Name
- Kwenyan Professional Health Services, LLC
- Provider Entity Type
- Organization
- Address
- 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106
- Phone Number
- 973-672-6901
- Fax Number
- 866-376-8262
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Mr. Daniel Cassell, MA, MPH, LPC, LCADC · President/Ceo · 973-672-6900
- Provider Enumeration Date
- June 2, 2010
- Last Update Date
- June 2, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Evergreen Pl
Suite 500
East Orange, NJ 07018-2106 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-2106
- Phone Number
- 973-672-6901
- Fax Number
- 866-376-8262
Provider Business Mailing Address Details
- Address
- 60 Evergreen Pl
Suite 500
East Orange, NJ 07018-2106 - City
- East Orange
- State
- NJ
- Zip
- 07018-2106
- Phone Number
- 973-672-6901
- Fax Number
- 866-376-8262
License Information
- License Number
- 2000479-10
- License State
- NJ
- Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kwenyan Professional Health Services, LLC?
The NPI number of Kwenyan Professional Health Services, LLC is 1457671372. It was assigned on June 2, 2010 and is currently active in the NPPES registry.
What is the specialty of Kwenyan Professional Health Services, LLC?
Kwenyan Professional Health Services, LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in NJ under license number 2000479-10.
Where does Kwenyan Professional Health Services, LLC practice?
The practice location is 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106. The office can be reached at 973-672-6901 (phone) or 866-376-8262 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457671372 directly on the NPPES registry website.