Organization
CONGREGATION TORATH CHAIM RAINTREE
Active
Organization
CONGREGATION TORATH CHAIM RAINTREE
Active
Other names
CCC Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEDIEDJAH RODRIGUES-PEREIRA RABBI, LCSW, LCADC (PRESIDENT)
(609) 225-9355
Entity
Organization
Contact information
Practice address
1401 NEW RD, LINWOOD, NJ 08221-1121
(609) 225-9355
(609) 225-9355
Mailing address
1212 TODD CT, LAKEWOOD, NJ 08701-2256
(732) 814-4648
(609) 225-9355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37LC0021100
NJ
251S00000X
Community/Behavioral Health Agency
44SC05605500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720329576
NPI
NJ
Enumeration date
09/14/2015
Last updated
12/09/2018
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