Organization
SOVEREIGN CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THELMA WILSON (PRESIDENT)
(609) 450-3504
Entity
Organization
Contact information
Practice address
415 COLUMBUS AVE, TRENTON, NJ 08629-2706
(609) 450-3504
Mailing address
415 COLUMBUS AVE, TRENTON, NJ 08629-2706
(609) 450-3504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
06/06/2017
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