| Bancroft @ Burlington | |
|
5 Terri Ln Burlington NJ 08016 | |
| (800) 774-5516 | |
| Not Available |
| Full Name | Bancroft @ Burlington |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Terri Ln, Burlington, New Jersey |
| Authorized Official Name and Position | Jennifer Cripps (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8563481196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bancroft @ Burlington 1255 Caldwell Rd Cherry Hill NJ 08034-3220 Ph: (800) 774-5516 | Bancroft @ Burlington 5 Terri Ln Burlington NJ 08016 Ph: (800) 774-5516 |
| NPI Number | 1225480833 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225480833 | NPI | - | NPPES |
| 186396 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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