Organization
CBS SPECIALIZED PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY MADAMBA MS, LPC (DIRECTOR)
(908) 854-0164
Entity
Organization
Contact information
Practice address
117 GRAND AVE, 2ND FLOOR, HACKETTSTOWN, NJ 07840-2128
(908) 854-0164
(908) 765-0291
Mailing address
PO BOX 475, MARLTON, NJ 08053-0475
(908) 854-0164
(908) 765-0291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0162159
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162159
—
NJ
Enumeration date
10/08/2009
Last updated
10/08/2009
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