Organization
OPTIMUM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN TEDESCHI LCSW (OWNER)
(201) 339-3371
Entity
Organization
Contact information
Practice address
1137 AVENUE C, BAYONNE, NJ 07002-3313
(201) 339-3371
(201) 339-3376
Mailing address
1137 AVENUE C, BAYONNE, NJ 07002-3313
(201) 339-3371
(201) 339-3376
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
375617
MANAGE CARE
NJ
01
—
60054
MENTAL HEALTH
NJ
Enumeration date
05/18/2007
Last updated
11/07/2014
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