Organization
CREATIVE INTERVENTION FOR MENTAL HEALTH AND CHEMICAL DEPENDENCY,PC
Active
Organization
CREATIVE INTERVENTION FOR MENTAL HEALTH AND CHEMICAL DEPENDENCY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA GOCHFELD MD (MEDICAL DIRECTOR)
(609) 662-3096
Entity
Organization
Contact information
Practice address
1149 BLOOMFIELD AVE, CLIFTON, NJ 07012-2314
(973) 365-2300
(973) 365-0868
Mailing address
20 SCOTCH RD, EWING, NJ 08628-2503
(609) 406-0100
(609) 406-0307
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
MEDICARE PENDING
—
Enumeration date
03/30/2009
Last updated
03/27/2012
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