Healthcare Provider Details

I. General information

NPI: 1164063129
Provider Name (Legal Business Name): THE ARC/MERCER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 KUSER RD STE B7
HAMILTON NJ
08619-3829
US

IV. Provider business mailing address

1542 KUSER RD STE B7
HAMILTON NJ
08619-3829
US

V. Phone/Fax

Practice location:
  • Phone: 609-989-9211
  • Fax: 609-896-0249
Mailing address:
  • Phone: 609-989-9211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN COOK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-406-0181