Extracare Health Services
NPI #1750435129 in Matawan, New Jersey
Provider Information
- NPI Number
- 1750435129
- Entity Type
- Organization
- Organization Name
- Extracare Health Services
- Primary Specialty
- Psychologist - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 141 STATE ROUTE 34
- City
- Matawan
- State
- New Jersey
- ZIP Code
- 07747-2187
- Phone
- (732) 721-3835
Authorized Official
- Name
- JOHN J KELLY, CSW, CDC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (732) 721-0060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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| DR. Rosalie Theresa-Ann Disimone-Weiss, PH.D. | |
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