Organization
YOUR PLACE FOR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELRITA M GODBOLD LCSW (COO)
(800) 497-9729
Entity
Organization
Contact information
Practice address
8008 ROUTE 130, DELRAN, NJ 08075-1869
(800) 497-9729
Mailing address
510 PRINCESS AVE, CROYDON, PA 19021-6024
(215) 253-1010
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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