Healthcare Provider Details

I. General information

NPI: 1265640072
Provider Name (Legal Business Name): DBT CENTER OF NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 PRINCETON PIKE SUITE 8
LAWRENCEVILLE NJ
08648-3261
US

IV. Provider business mailing address

10 SILVERS LN
PLAINSBORO NJ
08536-1116
US

V. Phone/Fax

Practice location:
  • Phone: 609-538-9300
  • Fax: 609-538-9301
Mailing address:
  • Phone: 609-274-7425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC04664300
License Number StateNJ

VIII. Authorized Official

Name: RIKKI ELLYN BOBCHIN
Title or Position: DIRECTOR
Credential: LCSW
Phone: 609-275-7425