Provider Demographics
NPI:1184436198
Name:JAFRI BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:JAFRI BEHAVIORAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:IMRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-283-0490
Mailing Address - Street 1:300 PERRINE RD STE 314
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3628
Mailing Address - Country:US
Mailing Address - Phone:732-790-5890
Mailing Address - Fax:732-790-5991
Practice Address - Street 1:300 PERRINE RD STE 314
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3628
Practice Address - Country:US
Practice Address - Phone:732-790-5890
Practice Address - Fax:732-790-5991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-25
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health