| New Jersey Center For Cognitive And Dialectical Behavior Therapy | |
|
1250 Sussex Tpke Ste N Randolph NJ 07869 | |
| (973) 532-2256 | |
| Not Available |
| Full Name | New Jersey Center For Cognitive And Dialectical Behavior Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1250 Sussex Tpke Ste N, Randolph, New Jersey |
| Authorized Official Name and Position | Michael Bodtmann (OWNER) |
| Authorized Official Contact | 2014034315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Center For Cognitive And Dialectical Behavior Therapy Po Box 645 Mount Freedom NJ 07970-0645 Ph: (201) 403-4315 | New Jersey Center For Cognitive And Dialectical Behavior Therapy 1250 Sussex Tpke Ste N Randolph NJ 07869 Ph: (973) 532-2256 |
| NPI Number | 1518516061 |
|---|---|
| Provider Enumeration Date | 09/07/2019 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518516061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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