Organization
PHOENIX BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. URIEL FELDMAN LSW (EXECUTIVE DIRECTOR)
(732) 581-6067
Entity
Organization
Contact information
Practice address
1014 WHITEHEAD ROAD EXT, EWING, NJ 08638-2406
(609) 771-3777
(609) 771-8041
Mailing address
1014 WHITEHEAD ROAD EXT, EWING, NJ 08638-2406
(609) 771-3777
(609) 771-8041
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NJ
261QM0850X
Adult Mental Health Clinic/Center
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439673
—
NJ
Enumeration date
11/04/2014
Last updated
06/16/2018
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