Provider Demographics
NPI:1780064741
Name:ARC OF CAMDEN COUNTY - MORTKAATC
Entity type:Organization
Organization Name:ARC OF CAMDEN COUNTY - MORTKAATC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:M
Authorized Official - Middle Name:M
Authorized Official - Last Name:ENGLEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-767-3650
Mailing Address - Street 1:215 W WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-1132
Mailing Address - Country:US
Mailing Address - Phone:856-767-3650
Mailing Address - Fax:856-767-6110
Practice Address - Street 1:109 N BLACK HORSE PIKE
Practice Address - Street 2:SUITE #6
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-3098
Practice Address - Country:US
Practice Address - Phone:856-227-5800
Practice Address - Fax:856-227-5844
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARC OF CAMDEN COUNTY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services