Organization
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
Active
Parent organization
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
Other names
Penn Medicine Princeton House Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
Authorized official
MR. GUILHERME SIMOES VALLADARES (CHIEF FINANCIAL OFFICER)
(609) 853-7112
Entity
Organization
Contact information
Practice address
905 HERRONTOWN RD, PRINCETON, NJ 08540-1901
(609) 497-3300
Mailing address
905 HERRONTOWN RD, PRINCETON, NJ 08540-1901
(609) 497-3300
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
NJ
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013018
AETNA PH
NJ
01
—
310902
HORIZON MEDI PH
NJ
05
—
4142306
—
NJ
01
—
4455360
AETNA CH
NJ
01
—
4606554
AETNA NOB
NJ
01
—
6427074
AETNA HERR
NJ
01
—
7350660
AETNA MTL
NJ
01
—
7383142
AETNA HAM
NJ
Enumeration date
02/13/2007
Last updated
01/28/2026
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