Provider Demographics
NPI:1912388729
Name:ARC MERCER, INC
Entity Type:Organization
Organization Name:ARC MERCER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-406-0181
Mailing Address - Street 1:180 EWINGVILLE RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-2425
Mailing Address - Country:US
Mailing Address - Phone:609-406-0181
Mailing Address - Fax:609-406-9258
Practice Address - Street 1:1015 WHITEHEAD ROAD EXT APT 120
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-2433
Practice Address - Country:US
Practice Address - Phone:609-406-0181
Practice Address - Fax:609-406-9258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0469912Medicaid