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Organization

ADVANCED BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISSAC S GELLEY (OWNER)
(732) 901-0035
Entity
Organization

Contact information

Practice address
2109 RED LION RD, PHILADELPHIA, PA 19115-1711
(732) 901-0035
(732) 905-9891
Mailing address
681 RIVER AVE STE 2E, LAKEWOOD, NJ 08701-5229
(732) 901-0035
(732) 905-9891

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
104100000X
Social Worker
363L00000X
Nurse Practitioner

Other

Enumeration date
02/27/2008
Last updated
06/04/2008
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