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Shirley Court Gonzalez, Lcsw Bcd Llc
Adult Mental Health Clinic/Center in West Orange, New Jersey
NPI 1265105910

Shirley Court Gonzalez, Lcsw Bcd Llc is an Adult Mental Health Clinic/Center based in West Orange, NJ and is specialized in Adult Mental Health. Shirley Court Gonzalez, Lcsw Bcd Llc practices in West Orange, NJ. The NPI Number for Shirley Court Gonzalez, Lcsw Bcd Llc is 1265105910 and holds a License No. (New Jersey).

The current practice location address for Shirley Court Gonzalez, Lcsw Bcd Llc is 470 Prospect Ave Ste 302, West Orange, NJ and can be reached out via phone at 877-755-4401 and via fax at 888-511-7386.

Location: 470 Prospect Ave Ste 302, West Orange, NJ, 07052-4106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265105910
Provider Name
Shirley Court Gonzalez, Lcsw Bcd Llc
Credential
Provider Entity Type
Organization
Address
470 Prospect Ave Ste 302, West Orange, NJ, 07052-4106
Phone Number
877-755-4401
Fax Number
888-511-7386
Provider Enumeration Date
07/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
470 Prospect Ave Ste 302
City
West Orange
State
New Jersey
Zip
07052-4106
Phone Number
877-755-4401
Fax Number
888-511-7386
person
Provider Business Mailing Address Details
Address
470 Prospect Ave Ste 302
City
West Orange
State
New Jersey
Zip
07052-4106
Phone Number
877-755-4401
Fax Number
888-511-7386
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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