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126 Spout Spring Ave Mount Holly NJ 08060-2030 | |
| (609) 261-3034 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 126 Spout Spring Ave, Mount Holly, New Jersey |
| Authorized Official Name and Position | Harry Marmorstein (CEO) |
| Authorized Official Contact | 6092675656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1289 Route 38 Suite 203 Hainesport NJ 08036-2730 Ph: (609) 267-5656 | 126 Spout Spring Ave Mount Holly NJ 08060-2030 Ph: (609) 261-3034 |
| NPI Number | 1306012885 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306012885 | NPI | - | NPPES |
| 8902101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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