| Cbs Specialized Programs | |
|
117 Grand Ave 2nd Floor Hackettstown NJ 07840-2128 | |
| (908) 854-0164 | |
| (908) 765-0291 |
| Full Name | Cbs Specialized Programs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 Grand Ave, Hackettstown, New Jersey |
| Authorized Official Name and Position | Henry Madamba (DIRECTOR) |
| Authorized Official Contact | 9088540164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbs Specialized Programs Po Box 475 Marlton NJ 08053-0475 Ph: (908) 854-0164 | Cbs Specialized Programs 117 Grand Ave 2nd Floor Hackettstown NJ 07840-2128 Ph: (908) 854-0164 |
| NPI Number | 1073848099 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073848099 | NPI | - | NPPES |
| 0162159 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0162159 (New Jersey) | Primary |
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