Organization
THE COOLEY JACKSON FOUNDATION
Active
Other names
Project Growth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT JACKSON MBA (CEO/PRESIDENT)
(856) 912-9404
Entity
Organization
Contact information
Practice address
1081 LAKESHORE DR, CAMDEN, NJ 08104-2627
(856) 912-9404
Mailing address
1081 LAKESHORE DR, CAMDEN, NJ 08104-2627
(856) 912-9404
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NJ
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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