| The Willow Tree Center | |
|
415 Speedwell Ave Morris Plains NJ 07950 | |
| (973) 682-8733 | |
| (973) 682-8734 |
| Full Name | The Willow Tree Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 415 Speedwell Ave, Morris Plains, New Jersey |
| Authorized Official Name and Position | Charles Berman (ASSOC DIRECTOR) |
| Authorized Official Contact | 9736828733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willow Tree Center 415 Speedwell Ave Morris Plains NJ 07950 Ph: (973) 682-8733 | The Willow Tree Center 415 Speedwell Ave Morris Plains NJ 07950 Ph: (973) 682-8733 |
| NPI Number | 1396036042 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396036042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2000195-07 (New Jersey) | Primary |
| 101YP2500X | Counselor - Professional | 37PC0822 (New Jersey) | Secondary |
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