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NPI Code Detail

MEDICARE: CENTER FOR HEALING BEHAVIORAL HEALTH SERVICES

MEDICARE: CENTER FOR HEALING BEHAVIORAL HEALTH SERVICES
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center2000500NJ
2101YA0400XAddiction (Substance Use Disorder) Counselor2000472NJ

General Provider Information

NPI Number : 1548507890
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR HEALING BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 9899
Second Line :
City : TRENTON
State : NJ
Zip : 08650-1899
Country : US
Telephone Number : 609-583-4915
Fax Number : 609-613-5571
Provider Business Practice Location Address
First Line : 20 SCOTCH RD STE B
Second Line :
City : EWING
State : NJ
Zip : 08628-2529
Country : US
Telephone Number : 609-583-4915
Fax Number : 609-613-5571
Authorized Official
Title or Position : CEO/CLINICAL DIRECTOR
Name : MRS. ERICA FRANCO MORTIMER
Credential : LCADC, LAC
Telephone Number : 609-583-4915
Provider Enumeration Date : 01/07/2013
Last Update Date : 10/31/2017

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Directions to “CENTER FOR HEALING BEHAVIORAL HEALTH SERVICES ” Practice Location

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