NPIMap

Organization Active NPI

The Lester a. Drenk Behavioral Health Center, Inc.

  • Preferred Provider Organization
  • Willingboro, NJ
National Provider Identifier
1881838779
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
104100000X Issued in NJ
Legal business name
THE LESTER A. DRENK BEHAVIORAL HEALTH CENTER, INC.
Practice address
218A Sunset Rd
Screening, Crisis & Information Program (Scip)
Willingboro, NJ 08046-1110
Phone
(609) 835-6180
Fax
(609) 835-7962
NPI assigned
Apr 23, 2009
Organization subpart
Yes
Parent organization
THE DRENK CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Ms. Nefessa Wiggins, MSW, LSW
Title
Crisis Specialist
Phone
(609) 835-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 104100000X NJ Primary

Addresses

Primary practice location

218A Sunset Rd
Screening, Crisis & Information Program (Scip)
Willingboro, NJ 08046-1110

Mailing address

1289 Route 38
Hainesport, NJ 08036-2730
Phone (609) 267-5656

Other names 1

  • The Drenk Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Lester a Drenk Behavior27 organizations share this tax ID, including this one
Part of
Lester a Drenk Behavior

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1881838779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730",
            "telephone_number": "609-267-5656",
            "fax_number": "609-267-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218A SUNSET RD",
            "address_2": "SCREENING, CRISIS & INFORMATION PROGRAM (SCIP)",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461110",
            "telephone_number": "609-835-6180",
            "fax_number": "609-835-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LESTER A. DRENK BEHAVIORAL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DRENK CENTER",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "NEFESSA",
        "authorized_official_title_or_position": "CRISIS SPECIALIST",
        "authorized_official_telephone_number": "609-835-6180",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drenk Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.