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Organization

WHERE KIDS THRIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. L. MICHELLE CODINGTON MS, LMFT (EXECUTIVE DIRECTOR)
(678) 886-4109
Entity
Organization

Contact information

Practice address
228 KINGS HWY E STE 102, HADDONFIELD, NJ 08033-1913
(678) 886-4109
Mailing address
228 KINGS HWY E STE 102, HADDONFIELD, NJ 08033-1913
(678) 886-4109

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37FI00166500
NJ

Other

Enumeration date
05/25/2015
Last updated
05/25/2015
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