| Merakey New Jersey | |
|
114 W Pacific Ave Minotola NJ 08341-1134 | |
| (856) 797-1250 | |
| Not Available |
| Full Name | Merakey New Jersey |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 114 W Pacific Ave, Minotola, New Jersey |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey New Jersey 620 Germantown Pike Lafayette Hill PA 19444-1810 Ph: (215) 836-3131 | Merakey New Jersey 114 W Pacific Ave Minotola NJ 08341-1134 Ph: (856) 797-1250 |
| NPI Number | 1679922108 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679922108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | GH1673 (New Jersey) | Primary |
Pafacom, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 E Pacific Ave, Minotola, NJ 08341 Phone: 856-696-1661 Fax: 856-696-6560 |