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Organization
KWENYAN AND ASSOCIATES
Active
Organization
KWENYAN AND ASSOCIATES
Active
Parent organization
KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
Authorized official
DR. DANIEL CASSELL PH.D., MPH (PRESIDENT/CEO: ADMINISTRATOR)
(609) 284-5822
Entity
Organization
Contact information
Practice address
2000 SPRUCE ST, EWING, NJ 08638-4625
(609) 583-4777
(866) 376-8262
Mailing address
2000 SPRUCE ST, EWING, NJ 08638-4625
(609) 583-4777
(866) 376-8262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
100800304
NJ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100800304
INTENSIVE/OUTPATIENT MENTAL HEALTH SERVICES LICENSE
NJ
Enumeration date
08/29/2017
Last updated
07/21/2022
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