| Comprehensive Behavioral Health Center | |
|
16 Allison Dr East Brunswick NJ 08816-4474 | |
| (973) 204-2811 | |
| Not Available |
| Full Name | Comprehensive Behavioral Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Allison Dr, East Brunswick, New Jersey |
| Authorized Official Name and Position | Prince A Kena (CLINICIAN) |
| Authorized Official Contact | 9732042811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Behavioral Health Center 16 Allison Dr East Brunswick NJ 08816-4474 Ph: (973) 204-2811 | Comprehensive Behavioral Health Center 16 Allison Dr East Brunswick NJ 08816-4474 Ph: (973) 204-2811 |
| NPI Number | 1336800424 |
|---|---|
| Provider Enumeration Date | 01/01/2022 |
| Last Update Date | 04/04/2022 |
| Certification Date | 04/04/2022 |
| Medicare PECOS PAC ID | 1951797059 |
|---|---|
| Medicare Enrollment ID | O20220329001338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336800424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Prince A Kena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669046439 PECOS PAC ID: 5597151696 Enrollment ID: I20220405003160 |
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