Organization
I DARE TO CARE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA GRAYSON-BALTIMORE LCSW (EXECUTIVE DIRECTOR)
(856) 304-4677
Entity
Organization
Contact information
Practice address
1656 KAIGHN AVE, CAMDEN, NJ 08103-3607
(856) 304-4677
Mailing address
1701 46TH ST, PENNSAUKEN, NJ 08110-3668
(856) 304-4677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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