Provider Demographics
NPI: | 1871379107 |
---|---|
Name: | N8 CARE |
Entity type: | Organization |
Organization Name: | N8 CARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF OPERATIONS/ MARKETING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JAYMIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LONG |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CADC |
Authorized Official - Phone: | 856-842-7881 |
Mailing Address - Street 1: | 124 E HIGH ST UNIT 752 |
Mailing Address - Street 2: | |
Mailing Address - City: | GLASSBORO |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08028-8034 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 856-842-7881 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 124 E HIGH ST UNIT 752 |
Practice Address - Street 2: | |
Practice Address - City: | GLASSBORO |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08028-8034 |
Practice Address - Country: | US |
Practice Address - Phone: | 856-842-7881 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-09-04 |
Last Update Date: | 2023-09-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |