Provider Demographics
NPI:1114296654
Name:SEXUAL ADDICTION TREATMENT SERVICES
Entity Type:Organization
Organization Name:SEXUAL ADDICTION TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:W
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC CACD CSAT
Authorized Official - Phone:908-892-5877
Mailing Address - Street 1:200 BARR HARBOR DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:W CNSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2977
Mailing Address - Country:US
Mailing Address - Phone:908-892-5877
Mailing Address - Fax:
Practice Address - Street 1:200 BARR HARBOR DR
Practice Address - Street 2:SUITE 400
Practice Address - City:W CNSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2977
Practice Address - Country:US
Practice Address - Phone:908-892-5877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty