Provider Demographics
NPI:1043853328
Name:JERSEY BEHAVIORAL CARE LLC
Entity Type:Organization
Organization Name:JERSEY BEHAVIORAL CARE LLC
Other - Org Name:NJP COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:GRINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-685-7277
Mailing Address - Street 1:9 HUXLEY CT
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2140
Mailing Address - Country:US
Mailing Address - Phone:732-685-7277
Mailing Address - Fax:
Practice Address - Street 1:220 DAVIDSON AVE STE 306
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4144
Practice Address - Country:US
Practice Address - Phone:917-701-9588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JERSEY BEHAVIORAL CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-19
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty