Imago Dei Behavioral Health Incorporated
NPI #1679331227 in Boonton, New Jersey
Provider Information
- NPI Number
- 1679331227
- Entity Type
- Organization
- Organization Name
- Imago Dei Behavioral Health Incorporated
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 8, 2024
- Last Updated
- Mar 8, 2024
Practice Location
- Address
- 1014 BIRCH ST
- City
- Boonton
- State
- New Jersey
- ZIP Code
- 07005-1404
- Phone
- (973) 874-6326
Authorized Official
- Name
- MR. JOHN D. TESTA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (201) 452-9082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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