Organization · NPI-2

Bainbridge House, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Hackensack, NJ

NPI number1306214960
StatusActive
Last updated in NPPESSep 11, 2015

Details

NPI
1306214960
Entity type
Organization (NPI-2)
Legal business name
Bainbridge House, LLC
Organization subpart
No
Enumeration date
Sep 11, 2015
Last updated
Sep 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)37PC00526200NJYes

Other names

  • Bainbridge House Counseling Services (Doing Business As)

Practice location

200 Passaic St
Hackensack, NJ 07601-3525

Phone 551-800-7101

Mailing address

200 Passaic St
Hackensack, NJ 07601-3525

Phone 551-800-7101

Authorized official

Mara Oliva
Director
2019196184

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