Extracare Health Services in Matawan - Addiction (substance Use Disorder)
Extracare Health Services - NPI 1750435129
Extracare Health Services is a Addiction (substance Use Disorder) in Matawan, New Jersey. Extracare Health Services practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Extracare Health Services is 1750435129. The last update date is 2020-08-22.
Extracare Health Services's current location address is 141 State Route 34, Matawan, New Jersey. You can contact this provider via phone number 7327213835 and fax number 2394559027. The mailing address for Extracare Health Services is 141 State Route 34, Matawan, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Extracare Health Services |
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Address | 141 State Route 34, Matawan, New Jersey |
Phone Number | 7327213835 |
Fax Number | 2394559027 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Kelly J John |
Credentials | CSW, CDC |
Telephone Number | 7327210060 |
NPI Number Detail
NPI Number | 1750435129 |
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Provider Enumeration Date | 2007-01-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 141 State Route 34 |
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City | Matawan |
State | New Jersey (NJ) |
Post Code | 77472187 |
Phone Number | 7327213835 |
Fax Number | 2394559027 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 103Ta0400X |
Licence No | PSYD-2136 |
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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What is the unique provider identifier assigned to Extracare Health Services?
The Extracare Health Services has been issued the NPI (National Provider Identifier) 1750435129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Extracare Health Services's physical address?
The Extracare Health Services is physically located at 141 State Route 34, in the city of Matawan, NJ, with the postal code 77472187.
What is the Extracare Health Services's specialty and taxonomy code?
The Extracare Health Services's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 103Ta0400X.
When did the Extracare Health Services receive its 1750435129?
The Extracare Health Services was issued its 1750435129 on 2007-01-23, which is the date when the organization was assigned this unique identifier.
When was the information related to Extracare Health Services most recently updated or refreshed?
The details pertaining to the Extracare Health Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.