Organization
GEORGE W. ACKLEY PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE W. ACKLEY PH.D. (OWNER)
(609) 675-0872
Entity
Organization
Contact information
Practice address
2848 S DELSEA DR, BLDG. B, VINELAND, NJ 08360-7042
(609) 675-0872
Mailing address
202 LENNOX AVE, CAPE MAY, NJ 08204-3837
(609) 675-0872
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
35SI00302800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7158700
—
NJ
Enumeration date
09/24/2008
Last updated
09/24/2008
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