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Organization

COMMUNITY PSYCHIATRIC INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALAN N. FURST LCSW (EXECUTIVE DIRECTOR)
(973) 673-3342
Entity
Organization

Contact information

Practice address
67 SANFORD ST, EAST ORANGE, NJ 07018-1926
(973) 673-3342
(973) 673-5612
Mailing address
67 SANFORD ST, EAST ORANGE, NJ 07018-1926
(973) 673-3342
(973) 673-5612

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
07181-01-05
NJ
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016004
NJ
Enumeration date
12/29/2006
Last updated
02/13/2023
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