| Drenk - Tfc South/ibp | |
|
1289 Route 38 Suite 104 Hainesport NJ 08036-2730 | |
| (609) 265-7804 | |
| Not Available |
| Full Name | Drenk - Tfc South/ibp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1289 Route 38, Hainesport, 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 - Tfc South/ibp 1289 Route 38 Suite 203 Hainesport NJ 08036-2730 Ph: () - | Drenk - Tfc South/ibp 1289 Route 38 Suite 104 Hainesport NJ 08036-2730 Ph: (609) 265-7804 |
| NPI Number | 1669631628 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669631628 | NPI | - | NPPES |
| 8833702 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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