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Organization
CPC INTEGRATED HEALTH, INC.
Active
Organization
CPC INTEGRATED HEALTH, INC.
Active
Other names
CPC Mental Health Service, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN WAGNER (CHIEF INFORMATION OFFICER)
(732) 935-2247
Entity
Organization
Contact information
Practice address
270 ROUTE 35, RED BANK, NJ 07701-5920
(732) 842-2000
(732) 224-0688
Mailing address
10 INDUSTRIAL WAY E STE 108, SUITE 108, EATONTOWN, NJ 07724-3332
(732) 935-2220
(732) 389-3207
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012017
—
NJ
05
—
0012025
—
NJ
05
—
0012068
—
NJ
05
—
0017175
—
NJ
05
—
0017752
—
NJ
05
—
0085502
—
NJ
05
—
0099805
—
NJ
05
—
4547306
—
NJ
05
—
7651104
—
NJ
05
—
8378207
—
NJ
05
—
8378509
—
NJ
05
—
8819408
—
NJ
05
—
8835306
—
NJ
Enumeration date
05/24/2006
Last updated
05/05/2026
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