NPIMap

Organization Active NPI

Lester a. Drenk Behavioral Health Center, Inc.

Doing business as Drenk BHC/MDTFC TH

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hainesport, NJ
National Provider Identifier
1891088167
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
LESTER A. DRENK BEHAVIORAL HEALTH CENTER, INC.
Doing business as
Drenk BHC/MDTFC TH
Practice address
1289 Route 38 West
Suite 203
Hainesport, NJ 08036
Phone
(609) 267-5656
Fax
(609) 265-1895
NPI assigned
May 19, 2011
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Mrs. Betty Garrison
Title
Cfo
Phone
(609) 267-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

1289 Route 38 West
Suite 203
Hainesport, NJ 08036

Mailing address

1289 Route 38 West
Suite 203
Hainesport, NJ 08036
Phone (609) 267-5656

Other names 1

  • Drenk BHC/MDTFC TH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Lester a Drenk Behavioral Health Center27 organizations share this tax ID, including this one

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": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1891088167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38 WEST",
            "address_2": "SUITE 203",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "08036",
            "telephone_number": "609-267-5656",
            "fax_number": "609-265-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38 WEST",
            "address_2": "SUITE 203",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "08036",
            "telephone_number": "609-267-5656",
            "fax_number": "609-265-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER A. DRENK BEHAVIORAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-267-5656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drenk BHC/MDTFC TH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hainesport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.