Organization
SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA WILSON (PRESIDENT/CEO)
(856) 655-1211
Entity
Organization
Contact information
Practice address
1127 N 35TH ST, CAMDEN, NJ 08105-4327
(856) 831-7061
Mailing address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(856) 361-1100
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
40301D05140
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40301D05140
NJ DMHAS
NJ
Enumeration date
09/18/2017
Last updated
09/18/2017
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