Organization
THE WILLOW TREE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BERMAN MA, LPC, LCADC (ASSOCIATE DIRECTOR)
(973) 682-8733
Entity
Organization
Contact information
Practice address
415 SPEEDWELL AVE, MORRIS PLAINS, NJ 07950-2100
(973) 682-8733
(973) 682-8734
Mailing address
415 SPEEDWELL AVE, MORRIS PLAINS, NJ 07950-2100
(973) 682-8733
(973) 682-8734
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000195
NJ
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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