Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC
Active
Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE VANORE (CAO)
(732) 458-1700
Entity
Organization
Contact information
Practice address
1191 LAKEWOOD RD, TOMS RIVER, NJ 08753-4172
(732) 323-3664
(732) 244-0018
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 458-1700
(732) 785-3296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000557
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000557
STATE LICENSE
NJ
Enumeration date
03/21/2018
Last updated
03/06/2019
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