Provider Demographics
NPI:1245391853
Name:THE CENTER FOR BEHAVIORAL HEALTH, INC
Entity Type:Organization
Organization Name:THE CENTER FOR BEHAVIORAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLUGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-692-9500
Mailing Address - Street 1:175 CEDAR LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4315
Mailing Address - Country:US
Mailing Address - Phone:201-092-9500
Mailing Address - Fax:201-692-0234
Practice Address - Street 1:175 CEDAR LN
Practice Address - Street 2:SUITE A
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4315
Practice Address - Country:US
Practice Address - Phone:201-092-9500
Practice Address - Fax:201-692-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ10139103T00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty