Beacon Behavioral Health Ii | |
110 Marter Ave Ste 406 Moorestown NJ 08057-3124 | |
(856) 256-8935 | |
Not Available |
Full Name | Beacon Behavioral Health Ii |
---|---|
Speciality | Counselor |
Location | 110 Marter Ave Ste 406, Moorestown, New Jersey |
Authorized Official Name and Position | James Douglas Dorman (PROGRAM DIRECTOR) |
Authorized Official Contact | 8562568935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beacon Behavioral Health Ii 20 Nursery Ct Glassboro NJ 08028 Ph: (856) 256-8935 | Beacon Behavioral Health Ii 110 Marter Ave Ste 406 Moorestown NJ 08057-3124 Ph: (856) 256-8935 |
NPI Number | 1073735460 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 05/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073735460 | NPI | - | NPPES |
2344668 | Other | MN | CIGNA BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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