# NJ THERAPEUTIC CARE OPTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154781573
- **Authorized official:** KEVIN ANTHONY JONES II (OWNER)
- **Authorized official phone:** (973) 820-7190

## Contact information

- **Practice address:** 671 S 14TH ST, NEWARK, NJ 07103-1410
- **Practice address phone:** (973) 820-7190
- **Mailing address:** 671 S 14TH ST, NEWARK, NJ 07103-1410
- **Mailing address phone:** (973) 820-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | — |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 09/23/2020