Organization
SOLSTICE COUNSELING SERVICES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MANDALE JD (CEO)
(609) 288-8844
Entity
Organization
Contact information
Practice address
300 BIRMINGHAM RD, PEMBERTON, NJ 08068-1326
(609) 288-8844
(609) 288-7210
Mailing address
300 BIRMINGHAM RD, PEMBERTON, NJ 08068-1326
(609) 288-8844
(609) 288-7210
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000499-11
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280925
—
NJ
05
—
0535797
—
NJ
Enumeration date
08/22/2011
Last updated
03/13/2023
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