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Organization

DEPT. VETERANS AFFAIRS

Active
Other names
VANJHCS
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN LEE MOORE-MAGEE MSW, LCSW (CLINICAL COORDINATOR)
(908) 647-0180
Entity
Organization

Contact information

Practice address
151 KNOLLCROFT RD, BLDG. 57, LYONS, NJ 07939-5001
(908) 647-0180
(908) 604-5850
Mailing address
52 HERCULES RD, KENVIL, NJ 07847-2579
(973) 927-7044

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
44SC00041400
NJ

Other

Enumeration date
09/25/2006
Last updated
08/08/2008
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