Provider Demographics
NPI:1437785490
Name:CORE BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:CORE BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-482-8422
Mailing Address - Street 1:280 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2429
Mailing Address - Country:US
Mailing Address - Phone:888-825-8689
Mailing Address - Fax:
Practice Address - Street 1:280 MAIN ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2429
Practice Address - Country:US
Practice Address - Phone:888-825-8689
Practice Address - Fax:855-932-1990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder