Provider Demographics
NPI:1285758680
Name:TREATMENT DYNAMICS
Entity type:Organization
Organization Name:TREATMENT DYNAMICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXEC DIR
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:L
Authorized Official - Last Name:HADLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-593-0090
Mailing Address - Street 1:256 COLUMBIA TPKE
Mailing Address - Street 2:SUITE 100N
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1209
Mailing Address - Country:US
Mailing Address - Phone:973-593-0090
Mailing Address - Fax:973-593-9040
Practice Address - Street 1:256 COLUMBIA TPKE
Practice Address - Street 2:SUITE 100N
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1209
Practice Address - Country:US
Practice Address - Phone:973-593-0090
Practice Address - Fax:973-593-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder