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Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC
Active
Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE VANORE (CAO)
(732) 458-1700
Entity
Organization
Contact information
Practice address
1200 RIVER AVE STE 9D, LAKEWOOD, NJ 08701-5657
(732) 901-5106
(732) 905-9231
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 901-5106
(732) 905-9231
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
203021804
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203021804
STATE LICENSE
NJ
Enumeration date
03/06/2018
Last updated
03/06/2019
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