| Progressive Behavioral Healthcare, Llc | |
|
520 Main St Toms River NJ 08753-7444 | |
| (732) 557-4422 | |
| (732) 557-4422 |
| Full Name | Progressive Behavioral Healthcare, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 520 Main St, Toms River, New Jersey |
| Authorized Official Name and Position | Deborah Manley (OWNER) |
| Authorized Official Contact | 7325574422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Behavioral Healthcare, Llc 520 Main St Toms River NJ 08753-7444 Ph: (732) 557-4422 | Progressive Behavioral Healthcare, Llc 520 Main St Toms River NJ 08753-7444 Ph: (732) 557-4422 |
| NPI Number | 1457382186 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 6800041294 |
|---|---|
| Medicare Enrollment ID | O20130311000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457382186 | NPI | - | NPPES |
| P3156670 | Other | NJ | OXFORD |
| 327640 | Other | NJ | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04312200 (New Jersey) | Primary |
| Provider Name | Deborah J Manley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063601557 PECOS PAC ID: 6204808744 Enrollment ID: I20040806000342 |
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