| Preferred Behavioral Health Of New Jersey, Inc | |
|
1200 River Ave Ste 9d Lakewood NJ 08701-5657 | |
| (732) 901-5106 | |
| (732) 905-9231 |
| Full Name | Preferred Behavioral Health Of New Jersey, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1200 River Ave Ste 9d, Lakewood, New Jersey |
| Authorized Official Name and Position | Julie Vanore (CAO) |
| Authorized Official Contact | 7324581700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Behavioral Health Of New Jersey, Inc Po Box 2036 Lakewood NJ 08701-8036 Ph: (732) 901-5106 | Preferred Behavioral Health Of New Jersey, Inc 1200 River Ave Ste 9d Lakewood NJ 08701-5657 Ph: (732) 901-5106 |
| NPI Number | 1295237212 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295237212 | NPI | - | NPPES |
| 203021804 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 203021804 (New Jersey) | Primary |
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