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Organization

GROUP THERAPY CENTRAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEXANDER HERZOG LCSW (CLINICAL DIRECTOR)
(973) 513-3187
Entity
Organization

Contact information

Practice address
362 MIDLAND AVE, 2ND FLOOR, GARFIELD, NJ 07026-1736
(973) 513-3187
Mailing address
340 AYCRIGG AVE, PASSAIC, NJ 07055-3714
(973) 513-3187

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05425000
NJ

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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