Organization
CUMBERLAND COUNTY GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. H DIETER HOVERMANN MA (EXECUTIVE DIRECTOR)
(856) 825-6819
Entity
Organization
Contact information
Practice address
2038 CARMEL RD, MILLVILLE, NJ 08332-9754
(856) 825-6810
(856) 327-4281
Mailing address
PO BOX 808, 2038 CARMEL ROAD, MILLVILLE, NJ 08332
(856) 825-6810
(856) 327-4281
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036706
—
NJ
05
—
0036722
—
NJ
05
—
0083704
—
NJ
05
—
4549007
—
NJ
05
—
7945809
—
NJ
05
—
8819505
—
NJ
Enumeration date
11/01/2006
Last updated
03/12/2012
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