Organization
MERIDIAN HOSPITALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI CHIARELLO LCSW (CLINICAL PROGRAM MANAGER)
(732) 836-4140
Entity
Organization
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
37AC00319200
NJ
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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