Organization
SABREEHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GLENN LCSW (PRESIDENT)
(732) 489-7124
Entity
Organization
Contact information
Practice address
74 WELLAND AVENUE, IRVINGTON, NJ 07111
(732) 489-7124
Mailing address
74 WELLAND AVE, IRVINGTON, NJ 07111-3128
(732) 489-7124
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SCO5517100
NJ
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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