Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC.
Active
Other names
Interact Program
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE VANORE (CAO)
(732) 458-1700
Entity
Organization
Contact information
Practice address
725 AIRPORT RD, PREFERRED BEHAVIORAL HEALTH OF NJ INTERACT PROGRAM, LAKEWOOD, NJ 08701-5968
(732) 367-8859
(732) 367-8242
Mailing address
PO BOX 2036, PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, LAKEWOOD, NJ 08701-8036
(732) 458-1700
(732) 785-3296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
20302-03-05
NJ
251S00000X
Community/Behavioral Health Agency
Primary
20302-03-05A
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5379105
—
NJ
Enumeration date
01/04/2007
Last updated
03/06/2019
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