| Anxiety Treatment Center, Llc. | |
|
15 Patriots Path South Bound Brook NJ 08880-1495 | |
| (215) 962-0701 | |
| (732) 356-1883 |
| Full Name | Anxiety Treatment Center, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Patriots Path, South Bound Brook, New Jersey |
| Authorized Official Name and Position | Richard G. Wagner (OWNER) |
| Authorized Official Contact | 2159620701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anxiety Treatment Center, Llc. 15 Patriots Path South Bound Brook NJ 08880-1495 Ph: (215) 962-0701 | Anxiety Treatment Center, Llc. 15 Patriots Path South Bound Brook NJ 08880-1495 Ph: (215) 962-0701 |
| NPI Number | 1356760813 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356760813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05343200 (New Jersey) | Primary |
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