Organization
DEAN TALY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOAN SIMPSON (OFFICE MANAGER)
(856) 229-9021
Entity
Organization
Contact information
Practice address
200 FEDERAL ST STE 213, CAMDEN, NJ 08103-1062
(856) 229-9021
(888) 249-3017
Mailing address
200 FEDERAL ST STE 213, CAMDEN, NJ 08103-1062
(856) 229-9021
(888) 249-3017
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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