Organization
CREATIVE INTERVENTION FOR MENTAL HEALTH AND CHEMICAL DEPENDENCY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA GOCHFELD MD (MEDICAL DIRECTOR)
(609) 662-3096
Entity
Organization
Contact information
Practice address
1149 BLOOMFIELD AVE, CLIFTON, NJ 07012-2314
(973) 365-2300
(973) 365-0868
Mailing address
20 SCOTCH ROAD, 3RD FLOOR, EWING, NJ 08628-2503
(609) 406-0100
(609) 406-0307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/11/2007
Last updated
01/31/2013
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