| Project Free Mercer | |
|
10 Southard St Trenton NJ 08609-1020 | |
| (609) 394-3202 | |
| Not Available |
| Full Name | Project Free Mercer |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10 Southard St, Trenton, New Jersey |
| Authorized Official Name and Position | George Bontcue (CFO) |
| Authorized Official Contact | 6093943202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Free Mercer 10 Southard St Trenton NJ 08609-1020 Ph: () - | Project Free Mercer 10 Southard St Trenton NJ 08609-1020 Ph: (609) 394-3202 |
| NPI Number | 1578073847 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578073847 | NPI | - | NPPES |
| 0475572 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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