| Centra Pc | |
|
5000 Sagemore Dr Suite 205 Marlton NJ 08053-4307 | |
| (856) 985-3030 | |
| (856) 985-8148 |
| Full Name | Centra Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5000 Sagemore Dr, Marlton, New Jersey |
| Authorized Official Name and Position | Kathleen Maguire (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8569853030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Pc 5000 Sagemore Dr Suite 205 Marlton NJ 08053-4307 Ph: () - | Centra Pc 5000 Sagemore Dr Suite 205 Marlton NJ 08053-4307 Ph: (856) 985-3030 |
| NPI Number | 1225241995 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225241995 | NPI | - | NPPES |
| CE883152 | Other | NJ | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CE883152 (New Jersey) | Primary |
| 101YM0800X | Counselor - Mental Health | CE883152 (Pennsylvania) | Secondary |
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