Organization
CAMDEN COUNTY SUBOXONE LLC
Active
Other names
Camden County Suboxone
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GALLIHUE (CORP DIRECTOR PATIENT ACCOUNTS)
(610) 994-2968
Entity
Organization
Contact information
Practice address
8 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(610) 994-2968
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
(610) 994-2968
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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