Organization
COMMUNITY CARE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN COLEMAN (CEO)
(732) 634-3331
Entity
Organization
Contact information
Practice address
131 ETHEL RD W, PISCATAWAY, NJ 08854-5900
(732) 572-4666
Mailing address
1152 SAINT GEORGES AVE, AVENEL, NJ 07001-1269
(732) 634-3331
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
910110305
NJ
Other
Enumeration date
01/26/2007
Last updated
06/03/2015
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