| The Hansen Foundation Inc | |
|
4 E Jimmie Leeds Rd Ste 3 Galloway NJ 08205-4465 | |
| (609) 965-3700 | |
| (609) 965-4666 |
| Full Name | The Hansen Foundation Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4 E Jimmie Leeds Rd Ste 3, Galloway, New Jersey |
| Authorized Official Name and Position | Carrie Angelo (REIMBURSEMENT DIRECTOR) |
| Authorized Official Contact | 6092704006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hansen Foundation Inc 4 E Jimmie Leeds Rd Ste 3 Galloway NJ 08205-4465 Ph: (609) 965-3700 | The Hansen Foundation Inc 4 E Jimmie Leeds Rd Ste 3 Galloway NJ 08205-4465 Ph: (609) 965-3700 |
| NPI Number | 1801421649 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801421649 | NPI | - | NPPES |
| 501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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