Provider Demographics
NPI:1043852361
Name:C-NETA BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:C-NETA BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OBIANUJU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEMELU
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:973-757-5100
Mailing Address - Street 1:211 WARREN ST STE 313
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3568
Mailing Address - Country:US
Mailing Address - Phone:973-757-5100
Mailing Address - Fax:973-755-2002
Practice Address - Street 1:211 WARREN ST STE 313
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3568
Practice Address - Country:US
Practice Address - Phone:973-757-5100
Practice Address - Fax:973-755-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care