| Liberty Behavioral Health Associates | |
|
395 Grand St Ambulatory Care Building Jersey City NJ 07302-4238 | |
| (201) 915-2600 | |
| (201) 369-6301 |
| Full Name | Liberty Behavioral Health Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 395 Grand St, Jersey City, New Jersey |
| Authorized Official Name and Position | Ritu Chandak (CHAIRMAN, DEPT OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 2019152000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Behavioral Health Associates 395 Grand St Ambulatory Care Building Jersey City NJ 07302-4238 Ph: (201) 915-2600 | Liberty Behavioral Health Associates 395 Grand St Ambulatory Care Building Jersey City NJ 07302-4238 Ph: (201) 915-2600 |
| NPI Number | 1811076607 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811076607 | NPI | - | NPPES |
| 7491808 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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