| Millenium Behavioral And Educational Resources, Llc | |
|
4 Gazell Ln Mullica Hill NJ 08062-4752 | |
| (856) 223-1571 | |
| (856) 223-1510 |
| Full Name | Millenium Behavioral And Educational Resources, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4 Gazell Ln, Mullica Hill, New Jersey |
| Authorized Official Name and Position | Susan C Matteson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8562231571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Behavioral And Educational Resources, Llc 4 Gazell Ln Mullica Hill NJ 08062-4752 Ph: (856) 223-1571 | Millenium Behavioral And Educational Resources, Llc 4 Gazell Ln Mullica Hill NJ 08062-4752 Ph: (856) 223-1571 |
| NPI Number | 1821122631 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821122631 | NPI | - | NPPES |
| 0095699 | Medicaid | NJ | |
| 0095737 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05248200 (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | 44SC05248200 (New Jersey) | Primary |
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