Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE VANORE (COO)
(732) 458-1700
Entity
Organization
Contact information
Practice address
40 CHRISTOPHER WAY, EATONTOWN, NJ 07724-3327
(732) 663-1800
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 458-1700
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2000648
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0576328
—
NJ
01
—
2000648
NJ LICENSE
NJ
Enumeration date
04/17/2017
Last updated
04/03/2023
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