Organization
HMH CARRIER CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH S. JACOBSON (VICE PRESIDENT - CFO)
(908) 281-1000
Entity
Organization
Contact information
Practice address
252 COUNTY ROAD 601, BELLE MEAD, NJ 08502-3923
(908) 281-1492
(908) 281-1664
Mailing address
252 COUNTY ROAD 601, BELLE MEAD, NJ 08502-3923
(908) 281-1492
(908) 281-1664
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
51806
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6396518
—
NJ
Enumeration date
05/23/2007
Last updated
04/08/2019
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