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Icbh
Adolescent and Children Mental Health Clinic/Center in Red Bank, New Jersey
NPI 1770295941

Icbh is an Adolescent and Children Mental Health Clinic/Center based in Freehold, NJ and is specialized in Adolescent and Children Mental Health. Icbh practices in Red Bank, NJ. The NPI Number for Icbh is 1770295941 and holds a License No. (New Jersey).

The current practice location address for Icbh is 130 Maple Ave Ste Wb2, Red Bank, NJ and can be reached out via phone at 732-668-4460.

Location: 130 Maple Ave Ste Wb2, Red Bank, NJ, 07728-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770295941
Provider Name
Icbh
Credential
Provider Entity Type
Organization
Address
130 Maple Ave Ste Wb2, Red Bank, NJ, 07728-1702
Phone Number
732-668-4460
Fax Number
Provider Enumeration Date
12/20/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0450874979 01 NJ 0450874979
institution
Provider Business Practice Location Address Details
Address
130 Maple Ave Ste Wb2
City
Red Bank
State
New Jersey
Zip
07701-1736
Phone Number
732-668-4460
Fax Number
person
Provider Business Mailing Address Details
Address
130 Maple Ave Ste Wb2
City
Red Bank
State
New Jersey
Zip
07701-1736
Phone Number
732-668-4460
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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