| Extracare Health Services | |
|
141 State Route 34 Matawan NJ 07747-2187 | |
| (732) 721-3835 | |
| (239) 455-9027 |
| Full Name | Extracare Health Services |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 141 State Route 34, Matawan, New Jersey |
| Authorized Official Name and Position | John J Kelly (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7327210060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extracare Health Services 141 State Route 34 P O Box 506 Matawan NJ 07747-2187 Ph: (732) 721-3835 | Extracare Health Services 141 State Route 34 Matawan NJ 07747-2187 Ph: (732) 721-3835 |
| NPI Number | 1750435129 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750435129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSYD-2136 (New Jersey) | Primary |
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