Organization
ST GEORGE BEHAVIORAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA F BREDA (OFFICE MANAGER)
(732) 381-5700
Entity
Organization
Contact information
Practice address
2366 ST GEORGE AVENUE, RAHWAY, NJ 07065
(732) 381-5700
(732) 381-5827
Mailing address
2366 ST GEORGE AVENUE, RAHWAY, NJ 07065
(732) 381-5700
(732) 381-5827
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
334239
MHN
NJ
01
—
726030000
MIS
NJ
Enumeration date
12/22/2006
Last updated
11/19/2013
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