Organization
DB THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BERGER (CEO)
(201) 970-5793
Entity
Organization
Contact information
Practice address
31 TRINITY PL, MONTCLAIR, NJ 07042-2773
(201) 577-8470
Mailing address
7 RANDOLPH TER, FAIR LAWN, NJ 07410-3316
(201) 970-5793
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00363100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12266865
CAQH
NJ
01
—
4200088
CIGNA
NJ
01
—
600715191
MAGELLAN BEHAVIORAL HEALTH
NJ
Enumeration date
07/13/2014
Last updated
07/13/2014
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