| Organization Name: | CRANBURY THERAPY LLC |
| NPI Number: | 1073766341 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | S. GEOFFREY WHITE (PRESIDENT) |
| Mailing Address: | 70 S Main St Suite 1c Cranbury |
| State: | NJ US |
| Postal Code: | 085123140 |
| Phone Number: | 6096550420 |
| Fax Number: | 6096558721 |
| NPI Enumeration Date: | 10/30/2008 |
| NPI Last Update Date: | 05/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 44SC04609600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |