Organization · NPI-2

Comprehensive Behavioral Healthcare INC

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

NPI number1336301845

StatusActive

Last updated in NPPESMar 6, 2012

Details

NPI: 1336301845
Entity type: Organization (NPI-2)
Legal business name: Comprehensive Behavioral Healthcare INC
Organization subpart: No
Enumeration date: Jun 26, 2008
Last updated: Mar 6, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
261QM2500X	Clinic/Center, Medical Specialty	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–

Practice location

395 Main St
Hackensack, NJ 07601-5806

Phone 201-935-3322 · Fax 201-935-3991

Mailing address

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930

Phone 201-935-3322 · Fax 201-935-3991

Authorized official

Dana J Jaworski
Billing Supervisor
2019353322

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.