| Drenk - Out Patient | |
|
795 Woodlane Rd Suite #301 Westampton NJ 08060-3832 | |
| (609) 267-1377 | |
| Not Available |
| Full Name | Drenk - Out Patient |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 795 Woodlane Rd, Westampton, 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 |
|---|---|
| Drenk - Out Patient 1289 Route 38 Suite #203 Hainesport NJ 08036-2730 Ph: (609) 267-5656 | Drenk - Out Patient 795 Woodlane Rd Suite #301 Westampton NJ 08060-3832 Ph: (609) 267-1377 |
| NPI Number | 1225273147 |
|---|---|
| Provider Enumeration Date | 12/05/2008 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225273147 | NPI | - | NPPES |
| 0183946 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 402020604 (New Jersey) | Primary |
| 251S00000X | Community/behavioral Health | 402021604 (New Jersey) | Secondary |
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