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Organization

BIG BROTHERS BIG SISTERS OF CAMDEN AND GLOUCESTER COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT JAKUBOWSKI MA (PRESIDENT/CEO)
(856) 546-1221
Entity
Organization

Contact information

Practice address
246 S WHITE HORSE PIKE, AUDUBON, NJ 08106-1352
(856) 546-1221
(856) 546-6721
Mailing address
246 S WHITE HORSE PIKE, AUDUBON, NJ 08106-1352
(856) 546-1221
(856) 546-6721

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0065382
NJ
Enumeration date
05/16/2007
Last updated
07/26/2007
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