1568791986 NPI number — ZAK BEHAVIORAL HEALTHCARE CORP

Table of content: (NPI 1568791986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568791986 NPI number — ZAK BEHAVIORAL HEALTHCARE CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZAK BEHAVIORAL HEALTHCARE CORP
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:
1568791986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
44 SIEGTOWN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE MAY COURT HOUSE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08210-1423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-463-2755
Provider Business Mailing Address Fax Number:
609-463-2757

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 SIEGTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE MAY COURT HOUSE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08210-1423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-463-2755
Provider Business Practice Location Address Fax Number:
609-463-2757
Provider Enumeration Date:
12/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SALAMI
Authorized Official First Name:
SAKA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
609-463-2755

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  25MA08289900 , 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)





Copyright © 2007-2025 www.npivalidator.com