Organization
MORE THAN CAPABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRAE MAXWELL WALSH BCABA (PRESIDENT)
(732) 890-1387
Entity
Organization
Contact information
Practice address
901 JERSEY AVE, SPRING LAKE, NJ 07762-1924
(732) 890-1387
Mailing address
901 JERSEY AVE, SPRING LAKE, NJ 07762-1924
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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