| Matrix Clinical Services | |
|
1632 Route 38 Ste. A Lumberton NJ 08048-2923 | |
| (609) 702-5884 | |
| (609) 702-5882 |
| Full Name | Matrix Clinical Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1632 Route 38, Lumberton, New Jersey |
| Authorized Official Name and Position | Bevlin Regenia Duncan (OWNER) |
| Authorized Official Contact | 6097025884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Clinical Services 1632 Route 38 Ste. A Lumberton NJ 08048-2923 Ph: (609) 702-5884 | Matrix Clinical Services 1632 Route 38 Ste. A Lumberton NJ 08048-2923 Ph: (609) 702-5884 |
| NPI Number | 1447498084 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447498084 | NPI | - | NPPES |
| 122248AOY | Other | NJ | MEDICARE NPI |
| 1326234097 | Other | NJ | INDIVIDUAL NPI |
| 0153061 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 26NJ00141700 (New Jersey) | Primary |
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