Morning Glory Behavioral Health Partial Care Program LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

10120-01-05 Issued in NJ

Legal business name

MORNING GLORY BEHAVIORAL HEALTH PARTIAL CARE PROGRAM LLC

Practice address

3443 Hwy 66
Neptune, NJ 07753-2764

Phone

(732) 918-9905

Fax

(732) 918-9907

NPI assigned

Jan 23, 2007

Last updated

Jan 18, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Colleen Bailey

Title

President

Phone

(732) 918-9905

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Diamond Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Morning Glory Behavioral Health Partial Care Program LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Neptune, NJ
  • NPI 1619520178
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1629122601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 HWY 66",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532764",
            "telephone_number": "732-918-9905",
            "fax_number": "732-918-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 HWY 66",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532764",
            "telephone_number": "732-918-9905",
            "fax_number": "732-918-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING GLORY BEHAVIORAL HEALTH PARTIAL CARE PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-918-9905",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "10120-01-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Monique Morgan, MD
• Illiana Alexandrova Morgan, M.D.
• Mina Adel Morgan, D.O
• James Moriarity
• Morning Glory Behavioral Health Partial Care Program LLC
• Amanda Danielle Moroz, APN
• Morph Mentoring
• Ginja M Morreale, MD
• Kimo Morris-Lowe, APN
• Andrea Nicole Morris, M.D.

• Adult Mental Health Clinic/Center in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.