Behavior Intervention Group.Corp
Community/Behavioral Health in Newark, NJ. Organization (NPI-2).
NPI number1720618523
StatusActive
Last updated in NPPESJan 22, 2020
Details
- NPI
- 1720618523
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavior Intervention Group.Corp
- Organization subpart
- No
- Enumeration date
- Jan 21, 2020
- Certification date
- Jan 22, 2020
- Last updated
- Jan 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251X00000X | Supports Brokerage | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
625 Broad St Ste 240Newark, NJ 07102-4417
Phone 862-216-5308
Mailing address
625 Broad St Ste 240Newark, NJ 07102-4417
Phone 862-216-5308
Authorized official
Benjamin Obi
Ceo
8622165308
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