| Rutgers-university Behavioral Health Care | |
|
183 S Orange Ave. Newark NJ 07103-2700 | |
| (732) 235-3493 | |
| (732) 235-2101 |
| Full Name | Rutgers-university Behavioral Health Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 183 S Orange Ave., Newark, New Jersey |
| Authorized Official Name and Position | Francis X. Colford (VICE PRESIDENT, FINANCE & TREASURER) |
| Authorized Official Contact | 7322355940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers-university Behavioral Health Care 671 Hoes Ln P.o. Box 1392 Piscataway NJ 08854-5627 Ph: (732) 235-3493 | Rutgers-university Behavioral Health Care 183 S Orange Ave. Newark NJ 07103-2700 Ph: (732) 235-3493 |
| NPI Number | 1457400632 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457400632 | NPI | - | NPPES |
| 0018660 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NOT APPLICABLE (New Jersey) | Primary |
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