Provider Demographics
NPI:1356795975
Name:ALLIED BEHAVIORAL HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ALLIED BEHAVIORAL HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-481-2848
Mailing Address - Street 1:1170 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-1086
Mailing Address - Country:US
Mailing Address - Phone:609-481-2848
Mailing Address - Fax:
Practice Address - Street 1:1170 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1086
Practice Address - Country:US
Practice Address - Phone:609-481-2848
Practice Address - Fax:609-939-3146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health