Organization
COBAR LLC
Active
Other names
vitalink
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY INGRAM LCSW (EXECUTIVE DIRECTOR)
(908) 620-1517
Entity
Organization
Contact information
Practice address
120 HALCYON PL, ROSELLE, NJ 07203-1512
(908) 620-1517
Mailing address
210 E 2ND AVE, ROSELLE, NJ 07203-1306
(908) 620-1517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05532900
NJ
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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