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Contact Information

LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC
659 EAGLE ROCK AVE STE 4
WEST ORANGE, NJ07052-2138
 Phone: 888-284-2034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC

NPI Number 1245714443
LBN Legal business name LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC
Authorized official KEITH GOLIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2018
Last updated 09/24/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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