| Declarations, Inc. | |
|
100 Willow Brook Rd Suite 210 Freehold NJ 07728 | |
| (732) 792-6990 | |
| (732) 792-6987 |
| Full Name | Declarations, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Willow Brook Rd, Freehold, New Jersey |
| Authorized Official Name and Position | James Marhold (PRESIDENT/CEO) |
| Authorized Official Contact | 7327926990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Declarations, Inc. 100 Willow Brook Rd Suite 210 Freehold NJ 07728 Ph: (732) 792-6990 | Declarations, Inc. 100 Willow Brook Rd Suite 210 Freehold NJ 07728 Ph: (732) 792-6990 |
| NPI Number | 1568919603 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568919603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 202050148 (New Jersey) | Primary |
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