Organization
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE CHISOLM MA,MSW,LCSW,LPC,LCAD (EXECUTIVE DIRECTOR)
(215) 370-1497
Entity
Organization
Contact information
Practice address
212 MADISON AVE E, MAGNOLIA, NJ 08049-1409
(856) 541-1700
(856) 309-9716
Mailing address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(856) 361-1123
(856) 488-1450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
403010205
NJ
253Z00000X
In Home Supportive Care Agency
403010348
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
40301D050041
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
40301D050240
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083909
—
NJ
05
—
0523780
—
NJ
05
—
0548481
—
NJ
01
—
403010205
DMHS
NJ
01
—
403010348
DMHAS LICENSE
NJ
01
—
40301D050041
DMHAS LICENSE
NJ
01
—
40301D050240
DMHAS
NJ
05
—
7477007
—
NJ
Enumeration date
04/25/2007
Last updated
04/01/2026
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