Organization
EVERNORTH BEHAVIORAL CARE GROUP OF NEW JERSEY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH NELSON (LEGAL COUNSEL)
(843) 540-7108
Entity
Organization
Contact information
Practice address
255 TECHNOLOGY PARK, LAKE MARY, FL 32746-6211
(877) 501-7991
Mailing address
625 MARKET ST FL 15, SAN FRANCISCO, CA 94105-3316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
09/05/2023
Last updated
12/07/2023
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