| Preferred Behavioral Health Of New Jersey, Inc | |
|
40 Christopher Way Eatontown NJ 07724-3327 | |
| (732) 663-1800 | |
| Not Available |
| Full Name | Preferred Behavioral Health Of New Jersey, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 40 Christopher Way, Eatontown, New Jersey |
| Authorized Official Name and Position | Julie Vanore (COO) |
| 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) 663-1800 | Preferred Behavioral Health Of New Jersey, Inc 40 Christopher Way Eatontown NJ 07724-3327 Ph: (732) 663-1800 |
| NPI Number | 1215515374 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215515374 | NPI | - | NPPES |
| 203022004 | Other | NJ | NJ DMHAS |
| 0824071 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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