Provider Demographics
NPI:1871948018
Name:ADVANCED BEHAVIORAL SOLUTIONS
Entity type:Organization
Organization Name:ADVANCED BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HICHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-644-7150
Mailing Address - Street 1:859 AVENUE C
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2923
Mailing Address - Country:US
Mailing Address - Phone:718-644-7150
Mailing Address - Fax:
Practice Address - Street 1:859 AVENUE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2923
Practice Address - Country:US
Practice Address - Phone:718-644-7150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health