Organization
PARK BENCH GROUP COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDI MASSEY-ALVARADO LCSW, LCADC (CO-OWNER)
(609) 365-2601
Entity
Organization
Contact information
Practice address
421 BETHEL RD, SOMERS POINT, NJ 08244-2081
(609) 365-2601
(609) 365-2519
Mailing address
421 BETHEL RD, SOMERS POINT, NJ 08244-2081
(609) 365-2601
(609) 365-2519
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
200023007
NJ
Other
Enumeration date
04/06/2007
Last updated
05/27/2014
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