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Organization

UNITY PLACE I

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY TISCHLER (CEO)
(917) 476-9453
Entity
Organization

Contact information

Practice address
1 KEYSTONE AVE, SUITE 100, CHERRY HILL, NJ 08003-1600
(856) 424-4142
Mailing address
138 MAIN STREET, LAKEWOOD, NJ 08701-1570
(732) 364-4466

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10053-01-05
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6581102
NJ
Enumeration date
01/10/2007
Last updated
03/31/2025
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