Provider Demographics
NPI:1164290854
Name:THE PRIVATE CARE BEHAVIOR SOLUTIONS LLC
Entity Type:Organization
Organization Name:THE PRIVATE CARE BEHAVIOR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:DARLINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:AUGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-885-3972
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-0485
Mailing Address - Country:US
Mailing Address - Phone:973-885-3972
Mailing Address - Fax:
Practice Address - Street 1:47 PARK AVE FL 2
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5500
Practice Address - Country:US
Practice Address - Phone:551-247-8459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management