| Mt. Carmel Guild - Pact | |
|
269 Oliver St Newark NJ 07105-2507 | |
| (973) 466-1348 | |
| Not Available |
| Full Name | Mt. Carmel Guild - Pact |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 269 Oliver St, Newark, New Jersey |
| Authorized Official Name and Position | Elizabeth Mcclendon (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9732667992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Carmel Guild - Pact 590 N 7th St Newark NJ 07107-2522 Ph: (973) 266-7992 | Mt. Carmel Guild - Pact 269 Oliver St Newark NJ 07105-2507 Ph: (973) 466-1348 |
| NPI Number | 1386708618 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 04/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386708618 | NPI | - | NPPES |
| 8820201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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