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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 E CASSELL PHD (PRESIDENT/CEO)
(609) 403-8740
Entity
Organization

Contact information

Practice address
860 LOWER FERRY RD, SUITE#1, EWING, NJ 08628-3525
(609) 403-8740
(609) 403-8746
Mailing address
860 LOWER FERRY RD, SUITE#1, EWING, NJ 08628-3525
(609) 403-8740
(609) 403-8746

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
04/29/2013
Last updated
04/29/2013
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