Organization
SKYDESOPE QUALITY LIFE COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAHHAR WALI MS (DIRECTOR)
(609) 667-7353
Entity
Organization
Contact information
Practice address
774 EAYRESTOWN RD STE 204, LUMBERTON, NJ 08048-3100
(609) 667-7353
Mailing address
774 EAYRESTOWN RD STE 204, LUMBERTON, NJ 08048-3100
(609) 667-7353
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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