Organization
HAZEL BEHAVIORAL HEALTH, LLC
Active
Other names
Hazel Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN E REILLY (DIRECTOR)
(609) 922-4114
Entity
Organization
Contact information
Practice address
545 DEWEY PARKER AVE, AUDUBON, NJ 08106-1905
(609) 922-4114
Mailing address
545 DEWEY PARKER AVE, AUDUBON, NJ 08106-1905
(609) 922-4114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1-07-3906
NJ
103K00000X
Behavior Analyst
Primary
1-07-3906
NJ
251S00000X
Community/Behavioral Health Agency
1-07-3906
NJ
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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