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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