Organization
CATHOLIC CHARITIES DIOCESE OF TRENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VALERIE MCKINNON (HOUSE MANAGER)
(609) 654-7871
Entity
Organization
Contact information
Practice address
417 TABERNACLE RD, MEDFORD, NJ 08055-2019
(609) 654-7871
Mailing address
417 TABERNACLE RD, MEDFORD, NJ 08055-2019
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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