Provider Demographics
NPI:1508452145
Name:ABLETO BEHAVIORAL HEALTH SERVICES OF NEW JERSEY, P.C.
Entity Type:Organization
Organization Name:ABLETO BEHAVIORAL HEALTH SERVICES OF NEW JERSEY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-446-5192
Mailing Address - Street 1:320 W 37TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4675
Mailing Address - Country:US
Mailing Address - Phone:646-757-3031
Mailing Address - Fax:
Practice Address - Street 1:320 W 37TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4675
Practice Address - Country:US
Practice Address - Phone:646-757-3031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty