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Organization

WITHIN HEALTH PROVIDER SERVICES NJ LLC

Active
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Organization

WITHIN HEALTH PROVIDER SERVICES NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE STOCKERT RN (DIRECTOR OF HEALTH SERVICES)
(866) 918-2114
Entity
Organization

Contact information

Practice address
299 GLENWOOD AVE STE 201, BLOOMFIELD, NJ 07003-2445
(866) 918-2114
Mailing address
2665 S BAYSHORE DR STE 220, MIAMI, FL 33133-5402
(866) 918-2114

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
10/01/2021
Last updated
12/09/2021
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