Organization
BRILLIANT BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W BRUCK APRN (OWNER)
(856) 405-5140
Entity
Organization
Contact information
Practice address
438 GANTTOWN RD STE B1, SEWELL, NJ 08080-1887
(856) 405-5140
Mailing address
307 SUGARMAN AVE, MILLVILLE, NJ 08332-4924
(856) 405-5140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
02/05/2025
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