Organization Name: | JBC THERAPEUTIC SERVICES, INC. |
NPI Number: | 1104048719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERI B. ROTHE (PRESIDENT) |
Mailing Address: | 786 Mountain Blvd. Suite 102 Watchung |
State: | NJ US |
Postal Code: | 07069 |
Phone Number: | 9087553055 |
Fax Number: | 9087553155 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04903700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |