Organization Name: | BANCROFT |
NPI Number: | 1801279534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES MCLISTER (COO) |
Mailing Address: | 6 Commissioner's Pike Woodstown |
State: | NJ US |
Postal Code: | 08098 |
Phone Number: | 8568236100 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |