Organization
NEW JERSEY CENTER FOR COGNITIVE AND DIALECTICAL BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BODTMANN (OWNER)
(201) 403-4315
Entity
Organization
Contact information
Practice address
1250 SUSSEX TPKE STE N, RANDOLPH, NJ 07869
(973) 532-2256
Mailing address
PO BOX 645, MOUNT FREEDOM, NJ 07970-0645
(201) 403-4315
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/30/2019
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