Provider Demographics
NPI:1942968649
Name:TRI AMERICA BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:TRI AMERICA BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED PERSON
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHRHAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-959-8180
Mailing Address - Street 1:2185 LEMOINE AVE UNIT 1H
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6030
Mailing Address - Country:US
Mailing Address - Phone:877-959-8180
Mailing Address - Fax:
Practice Address - Street 1:2185 LEMOINE AVE UNIT 1H
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6030
Practice Address - Country:US
Practice Address - Phone:877-959-8180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRI AMERICA HEALTH & WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-30
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)