Organization
PREFERRED BEHAVIORAL HEALTH OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BENDER (COMPLIANCE OFFICER)
(732) 458-1700
Entity
Organization
Contact information
Practice address
725 AIRPORT RD STE 2B, LAKEWOOD, NJ 08701-5968
(732) 367-4700
(732) 364-2253
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 367-4700
(732) 364-2253
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000804
LICENSE
NJ
Enumeration date
05/21/2019
Last updated
05/21/2019
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