Organization
PHILIP HOUSE OUTPATIENT SERVICES
Active
Parent organization
NEW HOPE FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW HOPE FOUNDATION
Authorized official
MS. SAMANTHA KUNCKEN LCADC (DIRECTOR)
(732) 870-8500
Entity
Organization
Contact information
Practice address
190 CHELSEA AVE, LONG BRANCH, NJ 07740-6712
(732) 870-8500
(732) 222-9315
Mailing address
190 CHELSEA AVE, LONG BRANCH, NJ 07740-6712
(732) 870-8500
(732) 222-9315
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
200011008
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189201
—
NJ
05
—
0189324
—
NJ
Enumeration date
01/12/2009
Last updated
06/27/2011
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