| Carelink Community Support Services Of New Jersey Inc | |
|
1200 Little Gloucester Road Apartment #1312 Clementon NJ 08021-5734 | |
| (856) 435-5878 | |
| (856) 435-5951 |
| Full Name | Carelink Community Support Services Of New Jersey Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 Little Gloucester Road, Clementon, New Jersey |
| Authorized Official Name and Position | James Philip Kyle (CONTROLLER) |
| Authorized Official Contact | 6108741119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carelink Community Support Services Of New Jersey Inc 106 Chesley Dr Media PA 19063-1759 Ph: (610) 874-1119 | Carelink Community Support Services Of New Jersey Inc 1200 Little Gloucester Road Apartment #1312 Clementon NJ 08021-5734 Ph: (856) 435-5878 |
| NPI Number | 1790833242 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790833242 | NPI | - | NPPES |
| 0053651 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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