Provider Demographics
NPI:1003375023
Name:CENTER FOR NETWORK THERAPY
Entity Type:Organization
Organization Name:CENTER FOR NETWORK THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CIDAMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-560-1080
Mailing Address - Street 1:333 CEDAR AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2400
Mailing Address - Country:US
Mailing Address - Phone:732-560-1080
Mailing Address - Fax:
Practice Address - Street 1:20 GIBSON PL STE 103
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4837
Practice Address - Country:US
Practice Address - Phone:732-431-5800
Practice Address - Fax:732-431-5806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR NETWORK THERAPY, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty