Provider Demographics
NPI:1518580877
Name:SAPPHIRE BEHAVIORAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:SAPPHIRE BEHAVIORAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KREISWIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-383-8668
Mailing Address - Street 1:228 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4154
Mailing Address - Country:US
Mailing Address - Phone:609-383-8668
Mailing Address - Fax:844-383-8668
Practice Address - Street 1:228 SUNSET RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4154
Practice Address - Country:US
Practice Address - Phone:609-383-8668
Practice Address - Fax:844-383-8668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services