Organization
HEALTH BALANCE MIND BODY SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE LORRAINE BLEIMANN LCADC (LICENSED CLINICAL ALCOHOL COUNSELOR)
(732) 221-9127
Entity
Organization
Contact information
Practice address
308 GRAHAM AVE, 260 CASIO DRIVE FARMINGDALE, NEPTUNE, NJ 07753-8312
(732) 221-9127
Mailing address
308 GRAHAM AVE, NEPTUNE, NJ 07753-8312
(732) 221-9127
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473152822
—
NJ
Enumeration date
02/22/2015
Last updated
02/22/2015
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