| Institute For Behavioral Health And Developmental Disabilities | |
|
1980 Springfield Ave Suite 4l Maplewood NJ 07040-3440 | |
| (888) 604-2433 | |
| (862) 930-4862 |
| Full Name | Institute For Behavioral Health And Developmental Disabilities |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1980 Springfield Ave, Maplewood, New Jersey |
| Authorized Official Name and Position | Damon K Ceaser (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8886042433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Behavioral Health And Developmental Disabilities 1980 Springfield Ave Suite 4l Maplewood NJ 07040-3440 Ph: (888) 604-2433 | Institute For Behavioral Health And Developmental Disabilities 1980 Springfield Ave Suite 4l Maplewood NJ 07040-3440 Ph: (888) 604-2433 |
| NPI Number | 1659736841 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 01/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659736841 | NPI | - | NPPES |
| 0490270 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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