| Children's Continuum Of Care | |
|
177 S Centre St Suite B Merchantville NJ 08109-2220 | |
| (856) 661-1100 | |
| (856) 661-0910 |
| Full Name | Children's Continuum Of Care |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 177 S Centre St, Merchantville, New Jersey |
| Authorized Official Name and Position | Kimberly C. Petka (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8566611100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Continuum Of Care 177 S Centre St Suite B Merchantville NJ 08109-2220 Ph: (856) 661-1100 | Children's Continuum Of Care 177 S Centre St Suite B Merchantville NJ 08109-2220 Ph: (856) 661-1100 |
| NPI Number | 1134256712 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134256712 | NPI | - | NPPES |
| 0098965 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37FI00158500 (New Jersey) | Primary |
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