Organization
KWENYAN AND ASSOCIATES
Active
Parent organization
KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
Other names
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) 403-8740
Mailing address
860 LOWER FERRY RD, SUITE 1, EWING, NJ 08628-3525
(609) 403-8740
(609) 403-8740
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
100800104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111
—
NJ
Enumeration date
12/13/2013
Last updated
12/13/2013
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