Organization
COMMUNITY HOSPITAL GROUP INC
Active
Other names
Center for Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C SMITH (CFO)
(732) 321-7000
Entity
Organization
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 632-1571
(732) 632-1644
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 632-1571
(732) 632-1644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
200040104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203050
—
NJ
05
—
8087300
—
NJ
Enumeration date
05/15/2007
Last updated
10/19/2009
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