Provider Demographics
NPI:1922895580
Name:KADORA MENTAL & BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:KADORA MENTAL & BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLYNE
Authorized Official - Middle Name:BONNIE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:856-214-2348
Mailing Address - Street 1:4000 ROUTE 9 S STE 1000
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1389
Mailing Address - Country:US
Mailing Address - Phone:856-214-2348
Mailing Address - Fax:
Practice Address - Street 1:4000 ROUTE 9 S STE 1000
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1389
Practice Address - Country:US
Practice Address - Phone:856-214-2348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)