Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE VANORE (CAO)
(732) 458-1700
Entity
Organization
Contact information
Practice address
1200 RIVER AVE STE 9D, LAKEWOOD, NJ 08701-5657
(732) 901-5106
(732) 905-9231
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 901-5106
(732) 905-9231
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
203021804
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203021804
STATE LICENSE
NJ
Enumeration date
03/06/2018
Last updated
03/06/2019
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