| Monte Nido New Jersey Llc | |
|
120 Munn Ln Cherry Hill NJ 08034-3030 | |
| (856) 626-5100 | |
| (856) 428-1629 |
| Full Name | Monte Nido New Jersey Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 120 Munn Ln, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Mike Bagley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3056631876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monte Nido New Jersey Llc 6100 Sw 76th Street Monte Nido Affiliates South Miami FL 33143 Ph: (305) 663-1876 | Monte Nido New Jersey Llc 120 Munn Ln Cherry Hill NJ 08034-3030 Ph: (856) 626-5100 |
| NPI Number | 1902529076 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902529076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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