Icbh
Clinic/Center, Mental Health (Including Community Mental Health Center) in Red Bank, New Jersey
1770295941- Practice location
- 130 Maple Ave Ste Wb2, Red Bank, NJ 07701-1736
- Phone
- 732-668-4460
- Fax
- —
- Last updated
- December 12, 2023
Icbh is a healthcare organization based in Red Bank, NJ. Icbh practices in Red Bank, NJ. The NPI Number for Icbh is 1770295941. The current practice location address for Icbh is 130 Maple Ave Ste Wb2, Red Bank, NJ 07701-1736 and can be reached out via phone at 732-668-4460.
Provider Profile Details
- NPI Number
- 1770295941
- Provider Name
- Icbh
- Provider Entity Type
- Organization
- Address
- 130 Maple Ave Ste Wb2, Red Bank, NJ 07701-1736
- Phone Number
- 732-668-4460
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Clarissa Mulligan Attara, PHD, LPC, LCADC, ACS · Counselor, Supervisor, Educator · 732-668-4460
- Provider Enumeration Date
- December 20, 2022
- Last Update Date
- December 12, 2023
- Certification Date
- December 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Maple Ave Ste Wb2
Red Bank, NJ 07701-1736 - City
- Red Bank
- State
- New Jersey
- Zip
- 07701-1736
- Phone Number
- 732-668-4460
Provider Business Mailing Address Details
- Address
- 200 Village Center Dr
# 6722
Freehold, NJ 07728-1702 - City
- Freehold
- State
- NJ
- Zip
- 07728-1702
- Phone Number
- 732-668-4460
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (3)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · 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 Icbh?
The NPI number of Icbh is 1770295941. It was assigned on December 20, 2022 and is currently active in the NPPES registry.
What is the specialty of Icbh?
Icbh is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Icbh practice?
The practice location is 130 Maple Ave Ste Wb2, Red Bank, NJ 07701-1736. The office can be reached at 732-668-4460 (phone).
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 1770295941 directly on the NPPES registry website.