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NPI Code Detail

MEDICARE: EMERGE BEHAVIORAL HEALTH LLC

MEDICARE: EMERGE BEHAVIORAL HEALTH LLC
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 : 1780185751
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGE BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 705 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 856-258-7350
Fax Number : 856-258-0622
Provider Business Practice Location Address
First Line : 705 BIRCHFIELD DR
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4013
Country : US
Telephone Number : 856-258-7350
Fax Number : 856-258-0622
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DR. SUSANNA CAREW
Credential : PSY.D.
Telephone Number : 856-296-6273
Provider Enumeration Date : 02/26/2018
Last Update Date : 12/24/2022

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Directions to “EMERGE BEHAVIORAL HEALTH LLC ” Practice Location

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