Provider Demographics
NPI:1689896367
Name:CTED INC
Entity Type:Organization
Organization Name:CTED INC
Other - Org Name:CENTER FOR TREATMENT OF EATING DISORDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ZICARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:973-740-1262
Mailing Address - Street 1:570 WEST MOUNT PLEASANT AVENUE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-740-1262
Mailing Address - Fax:973-740-0702
Practice Address - Street 1:570 WEST MOUNT PLEASANT AVENUE
Practice Address - Street 2:SUITE 108
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-740-1262
Practice Address - Fax:973-740-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health