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Organization

THE WILLOW TREE CENTER

Active
Parent organization
THE WILLOW TREE CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE WILLOW TREE CENTER
Authorized official
MR. CHARLES BERMAN LPC (ASSOC DIRECTOR)
(973) 682-8733
Entity
Organization

Contact information

Practice address
415 SPEEDWELL AVE, MORRIS PLAINS, NJ 07950
(973) 682-8733
(973) 682-8734
Mailing address
415 SPEEDWELL AVE, MORRIS PLAINS, NJ 07950
(973) 682-8733
(973) 682-8734

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2000195-07
NJ
101YP2500X
Professional Counselor
37PC0822
NJ

Other

Enumeration date
04/29/2011
Last updated
04/29/2011
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