Organization
BEHAVIORAL THERAPY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSON LCSW (PARTNER)
(201) 874-1924
Entity
Organization
Contact information
Practice address
625 N MAPLE AVE, HO HO KUS, NJ 07423-1589
(561) 264-1014
Mailing address
625 N MAPLE AVE, HO HO KUS, NJ 07423-1589
(201) 874-1924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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