Organization
BEHAVIOR INTERVENTION GROUP.CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN OBI (FOUNDER)
(862) 216-5308
Entity
Organization
Contact information
Practice address
625 BROAD ST STE 240, NEWARK, NJ 07102-4417
(862) 216-5308
Mailing address
625 BROAD ST STE 240, NEWARK, NJ 07102-4417
(862) 216-5308
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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