Organization
MORNING GLORY BEHAVIORAL HEALTH PARTIAL CARE PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN BAILEY (PRESIDENT)
(732) 918-9905
Entity
Organization
Contact information
Practice address
3443 HWY 66, NEPTUNE, NJ 07753-2764
(732) 918-9905
(732) 918-9907
Mailing address
3443 HWY 66, NEPTUNE, NJ 07753-2764
(732) 918-9905
(732) 918-9907
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
10120-01-05
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063207
—
NJ
Enumeration date
01/23/2007
Last updated
01/18/2010
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