| Suci Behavioral Health Services Llc | |
|
23 Hamilton Lakes Dr Hamilton NJ 08619-3441 | |
| (609) 532-3779 | |
| Not Available |
| Full Name | Suci Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23 Hamilton Lakes Dr, Hamilton, New Jersey |
| Authorized Official Name and Position | Beatrice Iloka (PROVIDER) |
| Authorized Official Contact | 6095323779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suci Behavioral Health Services Llc 23 Hamilton Lakes Dr Hamilton NJ 08619-3441 Ph: () - | Suci Behavioral Health Services Llc 23 Hamilton Lakes Dr Hamilton NJ 08619-3441 Ph: (609) 532-3779 |
| NPI Number | 1255060802 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Medicare PECOS PAC ID | 7719361468 |
|---|---|
| Medicare Enrollment ID | O20220830003868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255060802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Beatrice C Iloka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174903751 PECOS PAC ID: 1052618857 Enrollment ID: I20160322001677 |
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