| Preferred Behavioral Health Of Nj | |
|
725 Airport Rd Lakewood NJ 08701-5968 | |
| (732) 367-8859 | |
| (732) 367-8859 |
| Full Name | Preferred Behavioral Health Of Nj |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 725 Airport Rd, Lakewood, New Jersey |
| Authorized Official Name and Position | Julie Vanore (CAO) |
| Authorized Official Contact | 7324581700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Behavioral Health Of Nj Po Box 2036 Iotss Program Lakewood NJ 08701-8036 Ph: (732) 367-8859 | Preferred Behavioral Health Of Nj 725 Airport Rd Lakewood NJ 08701-5968 Ph: (732) 367-8859 |
| NPI Number | 1598999666 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598999666 | NPI | - | NPPES |
| 526788 | Other | NJ | GROUP MEDICARE NUMBER |
| 5255902 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 20302-17-04 (New Jersey) | Primary |
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