Provider Demographics
NPI:1841601226
Name:A SECOND TOUCH
Entity Type:Organization
Organization Name:A SECOND TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STENELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:856-457-7393
Mailing Address - Street 1:201 BUCK ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-3817
Mailing Address - Country:US
Mailing Address - Phone:856-457-7393
Mailing Address - Fax:856-457-7593
Practice Address - Street 1:201 BUCK ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-3817
Practice Address - Country:US
Practice Address - Phone:856-457-7393
Practice Address - Fax:856-457-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty