Organization
COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC
Active
Organization
COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M BLACKBURN (CHIEF EXECUTIVE OFFICER)
(732) 414-0081
Entity
Organization
Contact information
Practice address
11 SPRING STREET, FREEHOLD, NJ 07728
(732) 780-1175
(732) 780-8977
Mailing address
11 SPRING STREET, FREEHOLD, NJ 07728-1843
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411574
—
NJ
Enumeration date
07/15/2013
Last updated
12/17/2025
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