Provider Demographics
NPI:1114240074
Name:PREFERRED BEHAVIORAL HEALTH CONSULTING GROUP, INC.
Entity Type:Organization
Organization Name:PREFERRED BEHAVIORAL HEALTH CONSULTING GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:732-458-1700
Mailing Address - Street 1:1500 ROUTE 88 W
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2320
Mailing Address - Country:US
Mailing Address - Phone:732-458-1700
Mailing Address - Fax:732-785-9500
Practice Address - Street 1:1500 ROUTE 88 W
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-2320
Practice Address - Country:US
Practice Address - Phone:732-458-1700
Practice Address - Fax:732-785-9500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREFERRED BEHAVIORAL HEALTH OF NJ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-08
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health