1114364320 NPI number — HARMONY BEHAVIOR SOLUTIONS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114364320 NPI number — HARMONY BEHAVIOR SOLUTIONS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY BEHAVIOR SOLUTIONS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114364320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
253 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 269
Provider Business Mailing Address City Name:
MATAWAN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07747-3222
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-266-4497
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
46 BAYARD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08901-2152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-266-4497
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/29/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SANDERS
Authorized Official First Name:
VERONICA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
723-266-4497

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  44SC05536300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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