| Imago Dei Behavioral Health Incorporated | |
|
1014 Birch St Boonton NJ 07005-1404 | |
| (973) 874-6326 | |
| Not Available |
| Full Name | Imago Dei Behavioral Health Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1014 Birch St, Boonton, New Jersey |
| Authorized Official Name and Position | John D. Testa (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2014529082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Dei Behavioral Health Incorporated 1014 Birch St Boonton NJ 07005-1404 Ph: (973) 874-6326 | Imago Dei Behavioral Health Incorporated 1014 Birch St Boonton NJ 07005-1404 Ph: (973) 874-6326 |
| NPI Number | 1679331227 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679331227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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