Organization
KWENYAN AND ASSOCIATES
Active
Parent organization
KWENYAN PROFESSIONAL HEALTH SERV
Other names
Kwenyan Professional Health Serv
Organization subpart
Yes
Provider details
NPI number
Legal business name
KWENYAN PROFESSIONAL HEALTH SERV
Authorized official
DR. DANIEL CASSELL PH.D., MPH (PRESIDENT/CEO: ADMINISTRATOR)
(609) 284-5822
Entity
Organization
Contact information
Practice address
200 MAIN ST, FLEMINGTON, NJ 08822-1625
(908) 237-3826
(908) 237-3829
Mailing address
200 MAIN STREET, FLEMINGTON, NJ 08822
(908) 237-3826
(908) 237-3829
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
100800204
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100800204
—
NJ
Enumeration date
04/03/2017
Last updated
04/03/2017
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