| Family Alternatives Intensive Treatment Home | |
|
22 Little Mill Rd Lindenwold NJ 08021-6904 | |
| (856) 782-8865 | |
| (856) 782-8861 |
| Full Name | Family Alternatives Intensive Treatment Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 Little Mill Rd, Lindenwold, New Jersey |
| Authorized Official Name and Position | Sue Bergmann (VICE PRESIDENT ADMINISTRATION) |
| Authorized Official Contact | 8569641990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Alternatives Intensive Treatment Home 584 Benson St Camden NJ 08103-1324 Ph: (856) 964-1990 | Family Alternatives Intensive Treatment Home 22 Little Mill Rd Lindenwold NJ 08021-6904 Ph: (856) 782-8865 |
| NPI Number | 1336284405 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336284405 | NPI | - | NPPES |
| 0008567 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4225 (New Jersey) | Primary |
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