Organization
BUDDIES OF NEW JERSEY, INC.
Active
Organization
BUDDIES OF NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. ANDERSON M.A. (EXECUTIVE DIRECTOR)
(201) 489-2900
Entity
Organization
Contact information
Practice address
61 GRAND AVE, 3RD FLOOR, ENGLEWOOD, NJ 07631-3572
(914) 671-3924
(845) 942-1894
Mailing address
149 HUDSON ST, HACKENSACK, NJ 07601-6823
(201) 489-2900
(201) 489-2133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NJ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250431
—
NJ
Enumeration date
06/25/2012
Last updated
06/25/2012
Update your record
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