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218a Sunset Rd Willingboro NJ 08046-1110 | |
| (609) 835-6180 | |
| (609) 835-7962 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 218a Sunset Rd, Willingboro, 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: () - | 218a Sunset Rd Willingboro NJ 08046-1110 Ph: (609) 835-6180 |
| NPI Number | 1548429921 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548429921 | NPI | - | NPPES |
| 0006807 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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