Organization
SIKORA CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN N SMITH (EXECUTIVE DIRECTOR)
(856) 963-1312
Entity
Organization
Contact information
Practice address
615 CLINTON ST, CAMDEN, NJ 08103-1415
(856) 963-1312
(865) 963-2927
Mailing address
PO BOX 477, CAMDEN, NJ 08101-0477
(856) 963-1312
(865) 963-2927
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000298
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7604602
—
NJ
Enumeration date
05/18/2010
Last updated
05/18/2010
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