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Organization
NJ THERAPEUTIC CARE OPTION
Active
Organization
NJ THERAPEUTIC CARE OPTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ANTHONY JONES II (OWNER)
(973) 820-7190
Entity
Organization
Contact information
Practice address
671 S 14TH ST, NEWARK, NJ 07103-1410
(973) 820-7190
Mailing address
671 S 14TH ST, NEWARK, NJ 07103-1410
(973) 820-7190
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
NULL
302R00000X
Health Maintenance Organization
Primary
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
Other
Enumeration date
02/26/2016
Last updated
09/23/2020
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