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Managed Care Organizations at Mansfield Vlg, Hackettstown, NJ

License number
New Jersey 37LC00206800
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MARCELLUS BROOMES LCADC, LAC
Title: LICENSED ALCOHOL AND DRUG COUNSELOT
Phone: (973) 220-2962
Address
Address
104 Mansfield Vlg, Hackettstown, NJ 07840
National Provider ID: 1548655582
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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