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NPI Code Detail

MEDICARE: MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM

MEDICARE: MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1417223140
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM
Provider Business Mailing Address
First Line : 590 N 7TH ST
Second Line :
City : NEWARK
State : NJ
Zip : 07107-2522
Country : US
Telephone Number : 973-596-4058
Fax Number : 973-596-4057
Provider Business Practice Location Address
First Line : 590 N 7TH ST
Second Line :
City : NEWARK
State : NJ
Zip : 07107-2522
Country : US
Telephone Number : 973-596-4058
Fax Number : 973-596-4057
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. JOHN W WESTERVELT
Credential :
Telephone Number : 973-596-3984
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/27/2012

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Directions to “MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM ” Practice Location

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