Organization
THE CENTER FOR SUCCESSFUL LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BONNENBERG LCSW (OWNER)
(856) 364-2042
Entity
Organization
Contact information
Practice address
6000 SAGEMORE DR, SUITE 6102, MARLTON, NJ 08053-3900
(856) 364-2042
Mailing address
PO BOX 818, MALAGA, NJ 08328-0818
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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