| C Leiningen Llc | |
|
615 Hope Road, Bldg 2, 2nd Floor Eatontown NJ 07724 | |
| (732) 740-9432 | |
| Not Available |
| Full Name | C Leiningen Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 615 Hope Road, Bldg 2, 2nd Floor, Eatontown, New Jersey |
| Authorized Official Name and Position | Cheryl Ann Leiningen (APN) |
| Authorized Official Contact | 7327409432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Leiningen Llc 97 W Highland Ave Atlantic Highlands NJ 07716-1039 Ph: (732) 740-9432 | C Leiningen Llc 615 Hope Road, Bldg 2, 2nd Floor Eatontown NJ 07724 Ph: (732) 740-9432 |
| NPI Number | 1720716244 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720716244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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