Organization
SUSAN GORMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN GORMAN (OWNER)
(201) 874-8662
Entity
Organization
Contact information
Practice address
400 MORRIS AVE SUITE 214, DENVILLE, NJ 07834-1368
(201) 874-8662
Mailing address
24 WHIPPOORWILL LN, ROCKAWAY, NJ 07866-4222
(220) 187-4866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00390700
NJ
Other
Enumeration date
12/13/2010
Last updated
12/16/2010
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