Organization
IAC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI S MANTELL MSW (DIRECTOR)
(609) 737-8750
Entity
Organization
Contact information
Practice address
2 TREE FARM RD, SUITE A200, PENNINGTON, NJ 08534-1435
(609) 737-8750
Mailing address
2 TREE FARM RD, SUITE A200, PENNINGTON, NJ 08534-1435
(609) 737-8750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LCSW#44SC05190700
NJ
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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