| Theracare Managed Services, Llc | |
|
67 Walnut Ave Suite 105 Clark NJ 07066-1640 | |
| (855) 681-8555 | |
| (914) 560-2102 |
| Full Name | Theracare Managed Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 67 Walnut Ave, Clark, New Jersey |
| Authorized Official Name and Position | Mary Caroline Mccarthy (DIRECTOR OF CONTRACT DEVELOPMENT) |
| Authorized Official Contact | 2125642350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theracare Managed Services, Llc 1133 Westchester Ave. N230 White Plains NY 10604-3516 Ph: (212) 564-2350 | Theracare Managed Services, Llc 67 Walnut Ave Suite 105 Clark NJ 07066-1640 Ph: (855) 681-8555 |
| NPI Number | 1922628155 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922628155 | NPI | - | NPPES |
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