Organization
INTERACTIVE KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE TROUT (DIRECTOR OF CLINICAL SERVICES)
(856) 810-7599
Entity
Organization
Contact information
Practice address
3002 LINCOLN DR W STE E, MARLTON, NJ 08053-1527
(856) 810-7599
Mailing address
3002 LINCOLN DR W STE E, MARLTON, NJ 08053-1527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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