Individual
SALLY STONEHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNERSTONE AT TOMS RIVER APT 219, 2121 MASSACHUSETTS AVE. APT 219, TOMS RIVER, NJ 08755-1564
(732) 363-3335
(732) 363-3335
Mailing address
815 CEDARBRIDGE AVE, LAKEWOOD, NJ 08701-4932
(732) 363-3335
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463027
—
NJ
Enumeration date
12/20/2017
Last updated
12/20/2017
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