| Active Therapeutic Solutions | |
|
1044 Lacey Rd Forked River NJ 08731-1051 | |
| (732) 581-2178 | |
| (609) 971-3767 |
| Full Name | Active Therapeutic Solutions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1044 Lacey Rd, Forked River, New Jersey |
| Authorized Official Name and Position | Jennifer Baker (OWNER) |
| Authorized Official Contact | 7325812178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Therapeutic Solutions 1044 Lacey Rd Forked River NJ 08731-1051 Ph: (732) 581-2178 | Active Therapeutic Solutions 1044 Lacey Rd Forked River NJ 08731-1051 Ph: (732) 581-2178 |
| NPI Number | 1962935726 |
|---|---|
| Provider Enumeration Date | 04/09/2017 |
| Last Update Date | 04/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962935726 | NPI | - | NPPES |
| 0542962 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00480700 (New Jersey) | Primary |
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