Organization
JACQUELINE SPENCER MEMORIAL COUNSELING CENTER
Active
Organization
JACQUELINE SPENCER MEMORIAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIUS EVANS (OWNER)
(973) 623-2258
Entity
Organization
Contact information
Practice address
16 STRATFORD PL, NEWARK, NJ 07108-2846
(973) 623-2258
Mailing address
16 STRATFORD PL, NEWARK, NJ 07108-2846
(973) 623-2258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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