Healthcare Provider Details

I. General information

NPI: 1992214605
Provider Name (Legal Business Name): A BETTER CONCEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 WILDCAT BRANCH DR
SICKLERVILLE NJ
08081-4890
US

IV. Provider business mailing address

20 WILDCAT BRANCH DR
SICKLERVILLE NJ
08081-4890
US

V. Phone/Fax

Practice location:
  • Phone: 856-287-4191
  • Fax: 856-740-0605
Mailing address:
  • Phone: 856-287-4191
  • Fax: 856-740-0605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNJ

VIII. Authorized Official

Name: MRS. YOVONNEA CHARMAINE MCKEVER
Title or Position: ADMINISTRATOR
Credential: MHS
Phone: 856-287-4191