Organization
CPC BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA SANTORA (PATIENT ACCTS MGR)
(732) 935-2260
Entity
Organization
Contact information
Practice address
1088 HIGHWAY 34, ABERDEEN, NJ 07747-1948
(732) 290-1700
(732) 290-0040
Mailing address
10 INDUSTRIAL WAY E, EATONTOWN, NJ 07724-3332
(732) 935-2220
(732) 389-3207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540055
MEDICARE PROVIDER #
NJ
01
—
701378
MEDICARE PROVIDER #
—
Enumeration date
04/16/2008
Last updated
04/16/2008
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