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Organization

AUTISM BEHAVIORAL WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID JUSTIN BERG (PRINCIPAL)
(732) 239-2874
Entity
Organization

Contact information

Practice address
222 12TH ST SE, DC, WA 20003
(732) 239-2874
Mailing address
4345 US HIGHWAY 9 #1025, STE 7, FREEHOLD, NJ 07728
(732) 239-2874

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/25/2022
Last updated
10/25/2022
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