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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