Jacqueline Durham, Llc.

LBN: Jacqueline Durham, Llc.
Jacqueline Durham, Llc. is an health care organization with primary practice located at 214 Broad St , Red Bank NJ 07701-2026. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jacqueline Durham, Llc. can be contacted via phone (732) 690-2611, or through Garcia, Kathleen M. via phone (856) 242-3736.

Contact Information

Primary practice address
214 Broad St Red Bank NJ 07701-2026
Phone: (732) 690-2611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Kathleen M.
Phone: (856) 242-3736

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1295392850
LBN Legal business name Jacqueline Durham, Llc.
DBA Doing business as
Authorized official Garcia, Kathleen M.
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2019
Last updated Oct 7th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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