Organization · NPI-2
Preferred Behavioral Health Of New Jersey, INC.
Clinic/Center, Rehabilitation, Substance Use Disorder · Eatontown, NJ
NPI number1780118869
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1780118869
- Entity type
- Organization (NPI-2)
- Legal business name
- Preferred Behavioral Health Of New Jersey, INC.
- Organization subpart
- No
- Enumeration date
- Apr 17, 2017
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 2000648 | NJ |
Practice location
40 Christopher WayEatontown, NJ 07724-3327
Phone 732-663-1800
Mailing address
Po Box 2036Lakewood, NJ 08701-8036
Phone 732-458-1700
Authorized official
Julie Vanore
Coo
7324581700
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.