Organization · NPI-2

C Leiningen LLC

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

NPI number1720716244
StatusActive
Last updated in NPPESOct 17, 2022

Details

NPI
1720716244
Entity type
Organization (NPI-2)
Legal business name
C Leiningen LLC
Organization subpart
Yes
Enumeration date
Aug 11, 2022
Certification date
Oct 17, 2022
Last updated
Oct 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

615 Hope Road, Bldg 2, 2nd Floor
Eatontown, NJ 07724

Phone 732-740-9432

Mailing address

97 W Highland Ave
Atlantic Highlands, NJ 07716-1039

Phone 732-740-9432

Authorized official

Cheryl Ann Leiningen
Apn
7327409432

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.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Eatontown, NJ