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General NPI Number Information
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NPI Number | 1982810248
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Entity Type | Organization
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Legal Business Name | HMH CARRIER CLINIC, INC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 252 COUNTY ROAD 601
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City | BELLE MEAD
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State | NJ
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Zip | 08502-3923
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Country | US
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Telephone | 908-281-1000
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Fax | 908-281-1676
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Provider Business Mailing Address
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Address Line | 252 COUNTY ROAD 601
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City | BELLE MEAD
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State | NJ
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Zip | 08502-3923
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Country | US
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Telephone | 908-281-1000
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Fax | 908-281-1676
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Authorized Official
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Title or Position | VICE PRESIDENT - CFO
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Name | MR. RANDOLPH S JACOBSON
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Credential |
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Telephone | 908-281-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | 51806
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License Number State | NJ
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