| Women Of Hope Resource Center, Inc | |
| 
					331 White Horse Pike Atco NJ 08004-2230  | |
| (856) 767-3700 | |
| (856) 767-3743 | 
| Full Name | Women Of Hope Resource Center, Inc | 
|---|---|
| Speciality | Community/Behavioral Health | 
| Location | 331 White Horse Pike, Atco, New Jersey | 
| Authorized Official Name and Position | Debra Jacob-thomas (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 8567673700 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Women Of Hope Resource Center, Inc 331 White Horse Pike Atco NJ 08004-2230 Ph: (856) 767-3700  | Women Of Hope Resource Center, Inc 331 White Horse Pike Atco NJ 08004-2230 Ph: (856) 767-3700  | 
| NPI Number | 1740456656 | 
|---|---|
| Provider Enumeration Date | 05/01/2008 | 
| Last Update Date | 02/24/2023 | 
| Certification Date | 02/24/2023 | 
| Medicare PECOS PAC ID | 1951637230 | 
|---|---|
| Medicare Enrollment ID | O20190724001770 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740456656 | NPI | - | NPPES | 
| 1306241856 | Other | NJ | MENTAL HEALTH | 
| 0155471 | Medicaid | NJ | |
| 0160482 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary | 
| 251S00000X | Community/behavioral Health | 2000281-07 (New Jersey) | Primary | 
| Provider Name | Tyreasea A Johnson Mason | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003250101 PECOS PAC ID: 7719129543 Enrollment ID: I20150610001183  | 
| Provider Name | Maureen R Papke | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1992200661 PECOS PAC ID: 5193054344 Enrollment ID: I20190912002476  | 
| Provider Name | Leroy F Stanford | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1013395052 PECOS PAC ID: 2466981311 Enrollment ID: I20250122003240  | 
Oaks Integrated Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Martha Blvd, Atco, NJ 08004 Phone: 609-267-5928  | |
Archway Programs, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Jackson Rd, Atco, NJ 08004 Phone: 856-767-5757  | |
Twin Oaks Community Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2135 Tremont Ave, Atco, NJ 08004 Phone: 609-267-5928  | |
Archway Programs, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Jackson Rd, Atco, NJ 08004 Phone: 856-767-5757 Fax: 856-753-5882  | |
Oaks Integrated Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 A Martha Blvd, Atco, NJ 08004 Phone: 609-267-5928  | |
Alliance Mental Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Brookview Dr, Atco, NJ 08004 Phone: 267-825-5478  | |
Archway Programs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Jackson Rd, Atco, NJ 08004 Phone: 856-767-5757 Fax: 856-767-3219  |