Provider Demographics
NPI:1013236546
Name:CAMEO KIDS ALLIANCE, LLC
Entity type:Organization
Organization Name:CAMEO KIDS ALLIANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:732-547-3165
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-0515
Mailing Address - Country:US
Mailing Address - Phone:732-547-3165
Mailing Address - Fax:
Practice Address - Street 1:1115 GREEN GROVE RD
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-2571
Practice Address - Country:US
Practice Address - Phone:732-547-3165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health