Organization · NPI-2

Bergen Psychiatric Associates

Social Worker, Clinical · Hackensack, NJ

NPI number1588944979
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1588944979
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
1041C0700X Social Worker, Clinical44SC05276600NJYes
101YP2500X Counselor, Professional37PC00351700NJ

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
Administartor
2018335791

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