Doctor Name: | ARTHUR HAWTHORNE |
NPI Number: | 1639472269 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA, CAC |
License Number: | |
Business Practice Address: | 8 N Broadway Pitman, NJ - 080711034 |
Business Phone Number: | 8565820001 |
Business Fax Number: | 8565892629 |
Mailing Address: | 8 N Broadway, PITMAN |
State: | NJ |
Postal Code: | 080711034 |
Phone Number: | 8565820001 |
Fax Number: | 8565892629 |
NPI Enumeration Date: | 12/21/2010 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |