Provider Demographics
NPI:1902691439
Name:NEW JERSEY BEHAVIORAL HEALTH CENTER LLC
Entity type:Organization
Organization Name:NEW JERSEY BEHAVIORAL HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GROPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-251-8700
Mailing Address - Street 1:120 OLD CAMPLAIN RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4298
Mailing Address - Country:US
Mailing Address - Phone:561-251-8700
Mailing Address - Fax:
Practice Address - Street 1:120 OLD CAMPLAIN RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4298
Practice Address - Country:US
Practice Address - Phone:561-251-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility