| Shore Solutions Therapy Group | |
|
212 Jack Martin Blvd Ste D2 Brick NJ 08724-7771 | |
| (201) 688-0823 | |
| (845) 544-2201 |
| Full Name | Shore Solutions Therapy Group |
|---|---|
| Speciality | Counselor |
| Location | 212 Jack Martin Blvd Ste D2, Brick, New Jersey |
| Authorized Official Name and Position | Kenneth Mcgraw (ADMINISTRATOR) |
| Authorized Official Contact | 2016880823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Solutions Therapy Group 26 N Main St Ste 4 Florida NY 10921-1350 Ph: (201) 688-0823 | Shore Solutions Therapy Group 212 Jack Martin Blvd Ste D2 Brick NJ 08724-7771 Ph: (201) 688-0823 |
| NPI Number | 1457988966 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Medicare PECOS PAC ID | 1456703875 |
|---|---|
| Medicare Enrollment ID | O20240521002898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457988966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Theodore R Zaleski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780219881 PECOS PAC ID: 5698199263 Enrollment ID: I20240521003230 |
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