| Canterbury Behavioral Health Pc | |
|
176 Palisade Avenue Jersey City NJ 07306-1196 | |
| (201) 795-8637 | |
| (201) 795-8223 |
| Full Name | Canterbury Behavioral Health Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 176 Palisade Avenue, Jersey City, New Jersey |
| Authorized Official Name and Position | George A Popko (EVP / CFO) |
| Authorized Official Contact | 2017958637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canterbury Behavioral Health Pc 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 Ph: (732) 212-0051 | Canterbury Behavioral Health Pc 176 Palisade Avenue Jersey City NJ 07306-1196 Ph: (201) 795-8637 |
| NPI Number | 1821377136 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821377136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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