Healthcare Provider Details

I. General information

NPI: 1508928151
Provider Name (Legal Business Name): SAINT CLARES BEHAVIROAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WESR BLACKWELL ST
DOVER NJ
07801
US

IV. Provider business mailing address

36 ELM ST APT.13
MORRISTOWN NJ
07960-7218
US

V. Phone/Fax

Practice location:
  • Phone: 973-537-3945
  • Fax: 973-537-3941
Mailing address:
  • Phone: 973-214-2774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateNJ

VIII. Authorized Official

Name: MISS DEBORAH S ARUNDEL
Title or Position: STAFF CLINICAN
Credential: LCSW
Phone: 973-537-3945