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TEAM MANAGEMENT 2000 INC CBO NPI 1497992762


NPI Information

NPI: 1497992762
Provider Name: TEAM MANAGEMENT 2000 INC, CBO
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
744 BROAD ST FL 24
NEWARK, NJ
ZIP 07102
Phone: (973) 973-0425
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TEAM MANAGEMENT 2000 INC, CBO is a community behavioral health in Newark, NJ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. TEAM MANAGEMENT 2000 INC, CBO NPI is 1497992762. The provider is registered as an organization entity type.

The provider's business location address is:

744 BROAD ST FL 24
NEWARK, NJ
ZIP 07102-802
Phone: (973) 973-0425
Fax: (973) 239-2666

The provider's authorized official is Ava Faustin .
The authorized official title is Executive Dir/ceo and has the following contact phone number (973) 324-2220.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 9/8/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management2000054-08NEW JERSEYNo
2251S00000XCommunity/Behavioral Health2000054-08NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10183393MEDICAIDNEW 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: 4/28/2024

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