Organization
NEW BEHAVIORAL NETWORK ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BOETTCHER JR. (COO)
(856) 669-0217
Entity
Organization
Contact information
Practice address
2 PIN OAK LN, UNIT 250, CHERRY HILL, NJ 08003
(302) 892-9210
(302) 892-9199
Mailing address
2 PIN OAK LN, SUITE 250, CHERRY HILL, NJ 08003-1632
(856) 669-0211
(856) 424-8919
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
DE
251E00000X
Home Health Agency
—
NJ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019496
—
NJ
Enumeration date
08/02/2005
Last updated
05/30/2018
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