Organization
KALEIDOSCOPE THERAPEUTIC RIDING PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN POHUBKA (EXECUTIVE DIRECTOR)
(609) 914-5329
Entity
Organization
Contact information
Practice address
21 BRANIN ROAD, MEDFORD, NJ 08055
(609) 923-7847
Mailing address
23 ELMWOOD DRIVE, TABERNACLE, NJ 08088
(609) 914-5329
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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