Organization · NPI-2

Bergen Psychiatric Associates

Counselor, Professional · Hackensack, NJ

NPI number1306126792
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1306126792
Entity type
Organization (NPI-2)
Legal business name
Bergen Psychiatric Associates
Organization subpart
No
Enumeration date
Aug 17, 2011
Last updated
Aug 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional25MA06506500NJYes

Practice location

294 State St
Suite# 2
Hackensack, NJ 07601-5515

Phone 201-833-5791 · Fax 201-243-7874

Mailing address

Po Box 809
Teaneck, NJ 07666-0809

Phone 201-833-5791 · Fax 201-243-7874

Authorized official

Mohsan Jan
Administrtor
2018335791

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