Organization
FAITH FARM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONITA JOHNSON (EXECUTIVE DIRECTOR)
(856) 455-6145
Entity
Organization
Contact information
Practice address
21 STRETCH RD, BRIDGETON, NJ 08302-9260
(856) 455-6145
(856) 453-0093
Mailing address
21 STRETCH RD, BRIDGETON, NJ 08302-9260
(856) 455-6145
(856) 453-0093
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1000064-10
NJ
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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