Organization
MONTE NIDO NEW JERSEY LLC
Active
Other names
Clementine Cherry Hill
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BAGLEY (CHIEF FINANCIAL OFFICER)
(305) 663-1876
Entity
Organization
Contact information
Practice address
120 MUNN LN, CHERRY HILL, NJ 08034-3030
(856) 626-5100
(856) 428-1629
Mailing address
6100 SW 76TH STREET, MONTE NIDO AFFILIATES, SOUTH MIAMI, FL 33143
(305) 663-1876
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/23/2022
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