Organization
EATING DISORDERS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE ROLON (INSURANCE LIAISON)
(856) 810-0100
Entity
Organization
Contact information
Practice address
750 ROUTE 73 S, SUITE 104, MARLTON, NJ 08053-4141
(856) 810-0100
Mailing address
750 ROUTE 73 S, SUITE 104, MARLTON, NJ 08053-4141
(856) 810-0100
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
NJ
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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