Organization
FAIRLAWN BEHAVIORAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSAN JAN (ADMINISTRATOR)
(845) 821-2605
Entity
Organization
Contact information
Practice address
15-01 BROADWAY, SUITE 10B, FAIR LAWN, NJ 07410-6003
(201) 794-7733
(201) 794-7735
Mailing address
PO BOX 809, TEANECK, NJ 07666-0809
(201) 289-8455
(201) 243-7874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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