| Daybreak Treatment Care Program Ii | |
|
258-68 Pinedge Dr. West Berlin NJ 08091 | |
| (856) 753-8111 | |
| (856) 753-3339 |
| Full Name | Daybreak Treatment Care Program Ii |
|---|---|
| Speciality | Clinic/center |
| Location | 258-68 Pinedge Dr., West Berlin, New Jersey |
| Authorized Official Name and Position | Jeffrey I. Goldstein (CEO) |
| Authorized Official Contact | 7322458473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daybreak Treatment Care Program Ii P.o. Box 2136 Ocean NJ 07712 Ph: (732) 922-0591 | Daybreak Treatment Care Program Ii 258-68 Pinedge Dr. West Berlin NJ 08091 Ph: (856) 753-8111 |
| NPI Number | 1699809384 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699809384 | NPI | - | NPPES |
| 0034771 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10020-03-05 (New Jersey) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 10020-02-05 (New Jersey) | Secondary |
Connected Care Limited Liability Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Commerce Ln, West Berlin, NJ 08091 Phone: 856-753-7763 Fax: 856-753-7714 | |
1st Care Medical Arts Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 299 S Route 73 Ste A, West Berlin, NJ 08091 Phone: 856-767-2000 Fax: 856-767-0073 | |
Emerald Behavioral Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Pinedge Dr, West Berlin, NJ 08091 Phone: 856-753-8111 |