| Daybreak Treatment Care, Llc | |
|
258-68 Pinedge Dr. West Berlin NJ 08091 | |
| (856) 753-8111 | |
| (856) 753-3339 |
| Full Name | Daybreak Treatment Care, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 258-68 Pinedge Dr., West Berlin, New Jersey |
| Authorized Official Name and Position | Jeffrey I. Goldstein (CEO) |
| Authorized Official Contact | 7322458473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daybreak Treatment Care, Llc P.o. Box 2136 Ocean NJ 07712 Ph: (732) 922-0591 | Daybreak Treatment Care, Llc 258-68 Pinedge Dr. West Berlin NJ 08091 Ph: (856) 753-8111 |
| NPI Number | 1699809384 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699809384 | NPI | - | NPPES |
| 0034771 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 10020-02-05 (New Jersey) | Secondary |
| 261Q00000X | Clinic/center | 10020-03-05 (New Jersey) | Primary |
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