Provider Demographics
NPI:1194105197
Name:SBH UNION IOP,LLC
Entity type:Organization
Organization Name:SBH UNION IOP,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-651-4001
Mailing Address - Street 1:2780 MORRIS AVE STE 2D
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4848
Mailing Address - Country:US
Mailing Address - Phone:908-688-2502
Mailing Address - Fax:
Practice Address - Street 1:2780 MORRIS AVENUE, SUITE 2D
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-481-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000591261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder