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GUIDING LIGHT BEHAVIORAL HEALTH INC. NPI 1053640201


NPI Information

NPI: 1053640201
Provider Name: GUIDING LIGHT BEHAVIORAL HEALTH, INC.

Other Name: GUIDING LIGHT DRUG AND ALCOHOL TREATMENT SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1930 HECK AVE
BLDG. 3 SUITE 1
NEPTUNE, NJ
ZIP 07753
Phone: (732) 774-0911
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GUIDING LIGHT BEHAVIORAL HEALTH, INC. is a rehabilitation and substance use disorder clinic center in Neptune, NJ. GUIDING LIGHT BEHAVIORAL HEALTH, INC. NPI is 1053640201. The provider is registered as an organization entity type.
The provider Other Name Is Guiding Light Drug And Alcohol Treatment Services.

The provider's business location address is:

1930 HECK AVE
BLDG. 3 SUITE 1
NEPTUNE, NJ
ZIP 07753-476
Phone: (732) 774-0911
Fax: (732) 774-4061

The provider's authorized official is Howard C Lundy .
The authorized official title is Vp and has the following contact phone number (732) 531-2626.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 12/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder2000357-09NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10212326MEDICAIDNEW JERSEY
20212393MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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