Organization
REHABILITATIVE ADOLESCENT PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRAJAKTA S HARSHE LPC, LCADC, SAC (CEO)
(609) 704-5383
Entity
Organization
Contact information
Practice address
820 S WHITE HORSE PIKE, SUITE 2-B, HAMMONTON, NJ 08037-2009
(609) 704-5383
(609) 561-0678
Mailing address
820 S WHITE HORSE PIKE, SUITE 2-B, HAMMONTON, NJ 08037-2009
(609) 704-5384
(609) 561-0678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00308100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035939
—
NJ
Enumeration date
03/14/2007
Last updated
04/23/2008
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