Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANSY MATLOCK (RESIDENTIAL COUNELOR)
(856) 802-0186
Entity
Organization
Contact information
Practice address
327 MOUNT LAUREL RD, MOUNT LAUREL, NJ 08054-9556
(856) 802-0186
Mailing address
327 MOUNT LAUREL RD, MOUNT LAUREL, NJ 08054-9556
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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