Rehabilitative Adolescent Program, Llc in Hammonton - Community/behavioral Health

Rehabilitative Adolescent Program, Llc - NPI 1801920830

Rehabilitative Adolescent Program, Llc is a Community/behavioral Health in Hammonton, New Jersey. Rehabilitative Adolescent Program, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Rehabilitative Adolescent Program, Llc is 1801920830. The last update date is 2008-04-23.

Rehabilitative Adolescent Program, Llc's current location address is 820 S White Horse Pike, Hammonton, New Jersey. You can contact this provider via phone number 6097045384 and fax number 6095610678. The mailing address for Rehabilitative Adolescent Program, Llc is 820 S White Horse Pike, Hammonton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rehabilitative Adolescent Program, Llc
Address 820 S White Horse Pike, Hammonton, New Jersey
Phone Number 6097045384
Fax Number 6095610678
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Harshe S Prajakta
Credentials LPC, LCADC
Telephone Number 6097045383

NPI Number Detail

NPI Number 1801920830
Provider Enumeration Date 2007-03-14
Last Updated Date 2008-04-23

Provider Mailing Address Detail

Address 820 S White Horse Pike
City Hammonton
State New Jersey (NJ)
Post Code 80372009
Phone Number 6097045384
Fax Number 6095610678

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No 37PC00308100
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
35939 NJ --

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FAQs about Rehabilitative Adolescent Program, Llc

What is the unique identifier code issued to Rehabilitative Adolescent Program, Llc by the Centers for Medicare & Medicaid Services?

The Rehabilitative Adolescent Program, Llc has been assigned the NPI (National Provider Identifier) 1801920830. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Rehabilitative Adolescent Program, Llc's facilities are geographically located?

The facilities of Rehabilitative Adolescent Program, Llc are physically situated at the following location: 820 S White Horse Pike, Hammonton, NJ, 80372009.

What is Rehabilitative Adolescent Program, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rehabilitative Adolescent Program, Llc is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.

On what date did the Rehabilitative Adolescent Program, Llc receive the assignment of its 1801920830 from the Centers for Medicare & Medicaid Services?

The Rehabilitative Adolescent Program, Llc was issued its 1801920830 by the Centers for Medicare & Medicaid Services on 2007-03-14.

As of what date was the information pertaining to Rehabilitative Adolescent Program, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Rehabilitative Adolescent Program, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-23.

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