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Organization

IT TAKES A FAMILY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADEKEMI ADELAKUN-DUKE (CEO)
(856) 314-8069
Entity
Organization

Contact information

Practice address
519 LAKEHURST RD UNIT GH, BROWNS MILLS, NJ 08015-6000
(609) 248-5161
Mailing address
1200 LAUREL OAK RD STE 102, VOORHEES, NJ 08043-4317
(856) 314-8069
(856) 389-5820

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
261QC1500X
Community Health Clinic/Center
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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