Organization

Eridian Behavioral Health

May also be knows as Park Place

Adult Mental Health Clinic/Center in Asbury Park, NJ(View on Map)

Legal Business Name

Eridian Behavioral Health

Also Known As

Park Place

NPI Number

1952654972

NPI Type

Organization

Enumeration Date

10/16/2012

Specialties

(Taxonomies)

Code

261QM0850X

Primary Taxonomy

Yes

Licenses

State

New Jersey
New Jersey

License Number

44SC05427900
37LC00188000

Contact
Information

Purpose

Mailing
Location

Address

1011 BOND ST
1011 BOND ST

City

Asbury Park
Asbury Park

State

NJ
NJ

Postal Code

07712-5939
07712-5939

Country

US
US

Telephone Number

(732) 859-1794
(732) 859-1794

Authorized Official

Name

Mr. Peter Dougherty

Title or Position

CLINICAL SUPERVISOR

Telephone Number

(732) 869-2773

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/16/2012

Provider Address

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