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Organization

SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA WILSON (PRESIDENT/CEO)
(856) 655-1211
Entity
Organization

Contact information

Practice address
555 SPRUCE ST, CAMDEN, NJ 08103-2134
(856) 361-2736
Mailing address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(856) 361-1133

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
40301D050240
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0523780
NJ
01
40301D050240
NJ DMHAS
NJ
Enumeration date
09/18/2017
Last updated
09/18/2017
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