Healthcare Provider Details

I. General information

NPI: 1144559311
Provider Name (Legal Business Name): CENTER FOR ASSESSMENT AND TREATMENT, A NEW JERSEY NON PROFIT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2009
Last Update Date: 12/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254B MOUNTAIN AVE STE 300
HACKETTSTOWN NJ
07840-2413
US

IV. Provider business mailing address

254B MOUNTAIN AVE STE 300
HACKETTSTOWN NJ
07840-2413
US

V. Phone/Fax

Practice location:
  • Phone: 908-399-8953
  • Fax: 908-852-2838
Mailing address:
  • Phone: 908-399-8953
  • Fax: 908-852-2838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI00162800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number37FI00162800
License Number StateNJ

VIII. Authorized Official

Name: MS. ROSEANN STANTON
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 908-399-8953