Organization
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC.
Active
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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