Organization
HMH CARRIER CLINIC, INC.
Active
Parent organization
CARRIER CLINIC, INC.
Other names
Hackensack Meridian Health Carrier Clinic East Mountain Youth Lodge Lo
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARRIER CLINIC, INC.
Authorized official
MR. RANDOLPH S. JACOBSON (VICE PRESIDENT - CFO)
(908) 281-1000
Entity
Organization
Contact information
Practice address
252 ROUTE 601, BELLE MEAD, NJ 08502-3923
(908) 281-1000
Mailing address
252 ROUTE 601, BELLE MEAD, NJ 08502-3923
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
51806
NJ
Other
Enumeration date
06/14/2012
Last updated
04/05/2019
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