| Power Counseling And Treatment Services, Llc | |
|
717 E Elmer St Office F Vineland NJ 08360-4758 | |
| (856) 906-6167 | |
| (856) 204-1736 |
| Full Name | Power Counseling And Treatment Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 717 E Elmer St, Vineland, New Jersey |
| Authorized Official Name and Position | Azubike Innocent Aliche (DIRECTOR) |
| Authorized Official Contact | 8562041736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Power Counseling And Treatment Services, Llc 1712 Coventry Way Po Box 146 Millville NJ 08332-2213 Ph: (856) 906-6167 | Power Counseling And Treatment Services, Llc 717 E Elmer St Office F Vineland NJ 08360-4758 Ph: (856) 906-6167 |
| NPI Number | 1255699013 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 1153587696 |
|---|---|
| Medicare Enrollment ID | O20120727000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255699013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Azubike Aliche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649540675 PECOS PAC ID: 2062678501 Enrollment ID: I20120727000069 |
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