Organization
KHIDMA KHADIM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADE BETHEA EL (CEO)
(856) 602-2607
Entity
Organization
Contact information
Practice address
1 COLBY AVE STE 92, STRATFORD, NJ 08084-1000
(185) 660-2260
Mailing address
7595 BOULEVARD AVE STE 92, PENNSAUKEN, NJ 08110-2576
(856) 602-2607
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/22/2023
Last updated
05/23/2023
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