Organization
KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CASSELL MA, MPH, LPC, LCADC, (PRESIDENT/CEO)
(973) 672-6900
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL, SUITE 500, EAST ORANGE, NJ 07018-2106
(973) 672-6901
(866) 376-8262
Mailing address
60 EVERGREEN PL, SUITE 500, EAST ORANGE, NJ 07018-2106
(973) 672-6901
(866) 376-8262
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000479-10
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226220
—
NJ
Enumeration date
06/02/2010
Last updated
06/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us