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Organization

DECLARATIONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES MARHOLD DHA/DBA (PRESIDENT/CEO)
(732) 792-6990
Entity
Organization

Contact information

Practice address
100 WILLOW BROOK RD, SUITE 210, FREEHOLD, NJ 07728
(732) 792-6990
(732) 792-6987
Mailing address
100 WILLOW BROOK RD, SUITE 210, FREEHOLD, NJ 07728
(732) 792-6990
(732) 792-6987

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
202050148
NJ

Other

Enumeration date
09/07/2016
Last updated
05/11/2023
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