| Visionquest Of New Jersey | |
|
108 Route 72 New Lisbon NJ 08064-0370 | |
| (609) 894-4826 | |
| (609) 894-8109 |
| Full Name | Visionquest Of New Jersey |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 108 Route 72, New Lisbon, New Jersey |
| Authorized Official Name and Position | Beth Ann Rosica (VICE PRESIDENT - SERVICE DELIVERY) |
| Authorized Official Contact | 6104862280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visionquest Of New Jersey 108 Route 72 New Lisbon NJ 08064 Ph: (609) 894-4826 | Visionquest Of New Jersey 108 Route 72 New Lisbon NJ 08064-0370 Ph: (609) 894-4826 |
| NPI Number | 1033279914 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033279914 | NPI | - | NPPES |
| 0182320 | Medicaid | NJ | |
| 0166715 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0019666 (New Jersey) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1670 (New Jersey) | Primary |