| East Coast Behavioral Health Llc | |
|
225 Rt23 Suite 2l Hamburg NJ 07419-9622 | |
| (862) 364-4118 | |
| (973) 928-8124 |
| Full Name | East Coast Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 225 Rt23, Hamburg, New Jersey |
| Authorized Official Name and Position | Allen Warren Rude (OWNER/CEO) |
| Authorized Official Contact | 8643644118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Behavioral Health Llc 225 Rt23 Suite 2l Hamburg NJ 07419-9622 Ph: (862) 364-4118 | East Coast Behavioral Health Llc 225 Rt23 Suite 2l Hamburg NJ 07419-9622 Ph: (862) 364-4118 |
| NPI Number | 1245630524 |
|---|---|
| Provider Enumeration Date | 08/24/2014 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 8921466731 |
|---|---|
| Medicare Enrollment ID | O20230626002368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245630524 | NPI | - | NPPES |
| Provider Name | Frederick S Starr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285811018 PECOS PAC ID: 4183769458 Enrollment ID: I20230713001963 |
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