Organization
JV SERENITY IOP PRINCETON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEJA GILBERT PHD, LMHC, LPC (CEO)
(855) 219-1877
Entity
Organization
Contact information
Practice address
4065 QUAKERBRIDGE RD, PRINCETON JCT, NJ 08550-5243
(855) 219-1877
(954) 337-6238
Mailing address
PO BOX 31298, TAMPA, FL 33631-3298
(855) 219-1877
(954) 337-6238
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
09/13/2023
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