| Banyan Tree Mental Health Services | |
|
19a Dellwood Lane Somerset NJ 08873 | |
| (732) 247-9505 | |
| (973) 324-3641 |
| Full Name | Banyan Tree Mental Health Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 19a Dellwood Lane, Somerset, New Jersey |
| Authorized Official Name and Position | Loran C. Vocaturo (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 7327353925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banyan Tree Mental Health Services Po Box 6776 East Brunswick NJ 08816-6776 Ph: (732) 247-9505 | Banyan Tree Mental Health Services 19a Dellwood Lane Somerset NJ 08873 Ph: (732) 247-9505 |
| NPI Number | 1356588719 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356588719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 35S100391200 (New Jersey) | Primary |
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