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Organization
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES
Active
Organization
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DELILAH DRAGON (LPN)
(856) 577-3964
Entity
Organization
Contact information
Practice address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(856) 361-1100
Mailing address
7 HICKORY CT APT C, MAPLE SHADE, NJ 08052-1950
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
26NP05603800
NJ
314000000X
Skilled Nursing Facility
26NP05063800
NJ
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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