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DOC OCTAVIUS MENTAL HEALTH SERVICES

Professional

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Contact Information

DOC OCTAVIUS MENTAL HEALTH SERVICES
542 S BROADWAY APT H19
PENNSVILLE TOWNSHIP, NJ  08070-2675
 Phone: 914-261-6532
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Professional

 101YP2500X
 

Addiction (Substance Use Disorder)

 101YA0400X
 

Pastoral

 101YP1600X
Indicates primary specialty

NPI Profile & details for DOC OCTAVIUS MENTAL HEALTH SERVICES

NPI # 1780238428
LBN Legal business name DOC OCTAVIUS MENTAL HEALTH SERVICES
Authorized official OCTAVIUS BROWN - (CHIEF EXECUTIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2019
Last updated 07/31/2019 - About 7 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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