Organization
GREEN MEADOWS THERAPY CENTER AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARYEH PETEGORSKY (MANAGER)
(732) 503-6119
Entity
Organization
Contact information
Practice address
251 OAK GLEN RD, HOWELL, NJ 07731-8616
(732) 272-0177
(732) 358-0162
Mailing address
251 OAK GLEN RD, HOWELL, NJ 07731-8616
(732) 272-0177
(732) 358-0162
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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