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Organization

CPC INTEGRATED HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEEANN WAGNER (CHIEF INFORMATION OFFICER)
(732) 935-2247
Entity
Organization

Contact information

Practice address
270 HIGHWAY 35, RED BANK, NJ 07701-5920
(732) 842-2000
Mailing address
10 INDUSTRIAL WAY E STE 108, EATONTOWN, NJ 07724-3332
(732) 935-2220

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
202010204
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00099805
NJ
05
0012017
NJ
05
0012025
NJ
05
0012068
NJ
05
0099805
NJ
05
0410128
NJ
05
761104
NJ
Enumeration date
02/21/2017
Last updated
05/05/2026
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