Organization
INNOVATIVE BEHAVIORAL CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELRITA GODBOLD LCSW (CLINICAL DIRECTOR)
(856) 258-7464
Entity
Organization
Contact information
Practice address
104 CENTRE BLVD STE A, MARLTON, NJ 08053-4130
(856) 258-7464
Mailing address
104 CENTRE BLVD STE A, MARLTON, NJ 08053-4130
(856) 258-7464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
03/19/2024
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