Organization
SAFE HARBOR CHRISTIAN COUNSELING OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY YOST (REGIONAL DIRECTOR)
(410) 893-4600
Entity
Organization
Contact information
Practice address
200 CENTRAL AVE, SUITE 100, MOUNTAINSIDE, NJ 07092-1926
(410) 893-4600
(443) 640-4358
Mailing address
2208 MOUNTAIN AVE, SCOTCH PLAINS, NJ 07076-1304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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