Organization
BEACON BEHAVIORAL HEALTH II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOUGLAS DORMAN M.ED., LCADC (PROGRAM DIRECTOR)
(856) 256-8935
Entity
Organization
Contact information
Practice address
110 MARTER AVE STE 406, MOORESTOWN, NJ 08057-3124
(856) 256-8935
Mailing address
20 NURSERY CT, GLASSBORO, NJ 08028
(856) 256-8935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2344668
CIGNA BEHAVIORAL HEALTH
MN
Enumeration date
05/03/2007
Last updated
05/02/2008
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