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Organization
INTERCOLLABORATIVE CARE INC
Active
Organization
INTERCOLLABORATIVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLA ADELAKUN (OFFICER)
(732) 207-5413
Entity
Organization
Contact information
Practice address
101 ROUTE 130 S, 535, CINNAMINSON, NJ 08077-2845
(732) 207-5413
Mailing address
101 ROUTE 130 S, 535, CINNAMINSON, NJ 08077-2845
(732) 207-5413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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