| Aydan Behavioral Health | |
|
629 E Wood St Ste 308 Vineland NJ 08360-3731 | |
| (856) 449-4664 | |
| Not Available |
| Full Name | Aydan Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 629 E Wood St Ste 308, Vineland, New Jersey |
| Authorized Official Name and Position | Daryl Stafford (CEO) |
| Authorized Official Contact | 8564494664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aydan Behavioral Health 629 E Wood St Ste 308 Vineland NJ 08360-3731 Ph: (856) 449-4664 | Aydan Behavioral Health 629 E Wood St Ste 308 Vineland NJ 08360-3731 Ph: (856) 449-4664 |
| NPI Number | 1609551233 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609551233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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