Organization · NPI-2
Preferred Behavioral Health Of New Jersey, INC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Eatontown, NJ
NPI number1215515374
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1215515374
- Entity type
- Organization (NPI-2)
- Legal business name
- Preferred Behavioral Health Of New Jersey, INC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
40 Christopher WayEatontown, NJ 07724-3327
Phone 732-663-1800
Mailing address
Po Box 2036Lakewood, NJ 08701-8036
Phone 732-663-1800
Authorized official
Julie Vanore
Coo
7324581700
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