Organization
ABA360
Active
Other names
CB Supports of NJ
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BENEDEK (MEMBER)
(718) 336-6073
Entity
Organization
Contact information
Practice address
1072 MADISON AVE STE 400, LAKEWOOD, NJ 08701-2650
(718) 633-4411
Mailing address
1072 MADISON AVE STE 400, LAKEWOOD, NJ 08701-2650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
01/12/2022
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