Organization
VANTAGE HEALTH SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY TRELOAR (PATIENT ACCOUNT MANAGER)
(201) 385-4400
Entity
Organization
Contact information
Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 385-4400
(201) 384-7067
Mailing address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 384-7067
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2000117
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7759509
—
NJ
Enumeration date
10/19/2015
Last updated
10/19/2015
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