Organization
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED
Active
Organization
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA C WILSON MSW LCSW (PRESIDENT CEO)
(856) 541-1700
Entity
Organization
Contact information
Practice address
400 MARKET ST, CAMDEN, NJ 08102-1526
(856) 541-1700
(856) 541-1382
Mailing address
400 MARKET ST, CAMDEN, NJ 08102-1526
(856) 541-1700
(856) 541-1382
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
D05
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083909
—
NJ
05
—
7477007
—
NJ
05
—
7677308
—
NJ
05
—
OP0041106
—
NJ
Enumeration date
12/12/2006
Last updated
06/30/2017
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