Women Of Hope Resource Center, Inc | |
331 White Horse Pike Atco NJ 08004-2230 | |
(856) 767-3700 | |
(856) 767-3743 |
Full Name | Women Of Hope Resource Center, Inc |
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Speciality | Community/Behavioral Health |
Location | 331 White Horse Pike, Atco, New Jersey |
Authorized Official Name and Position | Debra Jacob-thomas (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8567673700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Women Of Hope Resource Center, Inc 331 White Horse Pike Atco NJ 08004-2230 Ph: (856) 767-3700 | Women Of Hope Resource Center, Inc 331 White Horse Pike Atco NJ 08004-2230 Ph: (856) 767-3700 |
NPI Number | 1740456656 |
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Provider Enumeration Date | 05/01/2008 |
Last Update Date | 02/24/2023 |
Certification Date | 02/24/2023 |
Medicare PECOS PAC ID | 1951637230 |
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Medicare Enrollment ID | O20190724001770 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740456656 | NPI | - | NPPES |
1306241856 | Other | NJ | MENTAL HEALTH |
0155471 | Medicaid | NJ | |
0160482 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2000281-07 (New Jersey) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Tyreasea Johnson Mason |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003250101 PECOS PAC ID: 7719129543 Enrollment ID: I20130807000816 |
Provider Name | Maureen R Papke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992200661 PECOS PAC ID: 5193054344 Enrollment ID: I20190912002476 |
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