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Organization

BRAIN INJURY RESOURCE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ANN LISSITZ BA, ACBIS (CLINICAL COORDINATOR)
(862) 324-3456
Entity
Organization

Contact information

Practice address
86 WALNUT VALLEY RD, COLUMBIA, NJ 07832-2789
(908) 362-5862
Mailing address
86 WALNUT VALLEY RD, COLUMBIA, NJ 07832-2789
(908) 362-5862

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
08/25/2011
Last updated
08/25/2011
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