Organization Name: | ARCHWAY PROGRAMS |
NPI Number: | 1992186282 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUZANNE MARIE MAHONEY (PROGRAM SUPERVISOR) |
Mailing Address: | 280 Jackson Rd Atco |
State: | NJ US |
Postal Code: | 080041645 |
Phone Number: | 8565823900 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2015 |
NPI Last Update Date: | 06/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |