Advanced Treatment LLC
Clinic/Center in Paramus, NJ. Organization (NPI-2).
NPI number1396338414
StatusActive
Last updated in NPPESNov 27, 2024
Details
- NPI
- 1396338414
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Treatment LLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Nov 27, 2024
- Last updated
- Nov 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
230 E Ridgewood Ave Building 6, 2nd FloorParamus, NJ 07652-4142
Phone 551-237-4987 · Fax 201-967-4182
Mailing address
14 Adams CtMahwah, NJ 07430-3197
Phone 646-371-8855
Other practice locations
1000 Wyckoff Ave Fl 3
Mahwah, NJ 07430-3164
Mahwah, NJ 07430-3164
Phone 201-225-4700 · Fax 201-225-4702
Authorized official
Shahan Sibtain
Psychiatrist
6463718855
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