Provider Demographics
NPI:1033270632
Name:NJ CENTER FOR THE HEALING ARTS, INC.
Entity Type:Organization
Organization Name:NJ CENTER FOR THE HEALING ARTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VEIZER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:732-747-2944
Mailing Address - Street 1:248 BROAD ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2020
Mailing Address - Country:US
Mailing Address - Phone:732-747-2944
Mailing Address - Fax:732-747-2949
Practice Address - Street 1:248 BROAD ST
Practice Address - Street 2:SUITE #1
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2020
Practice Address - Country:US
Practice Address - Phone:732-747-2944
Practice Address - Fax:732-747-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ735690Medicare PIN