Eridian Behavioral Health

NPI #1952654972 in Asbury Park, New Jersey

Provider Information

NPI Number
1952654972
Entity Type
Organization
Organization Name
Eridian Behavioral Health
Subpart
Yes (part of a larger organization)
Parent Organization
MERIDIAN HEALTH
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Oct 16, 2012
Last Updated
Oct 16, 2012

Practice Location

Address
1011 BOND ST
ZIP Code
07712-5939
Phone
(732) 859-1794

Authorized Official

Name
MR. PETER E DOUGHERTY, LCSW, LCADC
Title
CLINICAL SUPERVISOR
Phone
(732) 869-2773

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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