| Organization Name: | WILLOW TREE BEHAVIORAL HEALTH AND COUNCSELING |
| NPI Number: | 1538400312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER LYNN ALTMAN (PARTNER) |
| Mailing Address: | 244 N Main St Mullica Hill |
| State: | NJ US |
| Postal Code: | 080622604 |
| Phone Number: | 8563660642 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2013 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00392500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |