Organization
CENTERS FOR BEHAVIORAL SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI A MCGAHAN MSW, LCSW (CLINICAL DIRECTOR)
(973) 409-0771
Entity
Organization
Contact information
Practice address
11 KIEL AVE, SUITE D-2, KINNELON, NJ 07405-2549
(973) 409-0771
(973) 283-0090
Mailing address
11 KIEL AVE, SUITE D-2, KINNELON, NJ 07405-2549
(973) 409-0771
(973) 283-0090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041181
—
NJ
05
—
0041301
—
NJ
05
—
0041327
—
NJ
05
—
0041335
—
NJ
05
—
0041351
—
NJ
Enumeration date
04/11/2007
Last updated
09/30/2008
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