# INTERCOLLABORATIVE CARE INC

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

## Provider details

- **NPI number:** 1164883476
- **Authorized official:** BOLA ADELAKUN (OFFICER)
- **Authorized official phone:** (732) 207-5413

## Contact information

- **Practice address:** 101 ROUTE 130 S, 535, CINNAMINSON, NJ 08077-2845
- **Practice address phone:** (732) 207-5413
- **Mailing address:** 101 ROUTE 130 S, 535, CINNAMINSON, NJ 08077-2845
- **Mailing address phone:** (732) 207-5413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 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